PDP Electronic Enrollment
Access to the PDP electronic enrollment can be found on Sales Professional Access (SPA) accounts.mutualofomaha.com. On the left navigation bar under Sales Tools, click: Electronic Applications – Prescription Drug Plans e-Application – Start or Continue e-App
The link allows access to the electronic enrollment platform where you can create a client profile and provide a quote at this time.
Click to view the PDP Electronic Enrollment Process
PDP Paper Enrollment Forms
The PDP enrollment packets can be order through regular channels. You ca fax the order form or call Sales Support at 800-693-6083.
Completed paper enrollment forms can be submitted to Mutual of Omaha via fax or mail. The Scope of Appointment (SOA) should be retained by the agent and a copy must be submitted to Mutual of Omaha by fax or email.
| Form |
FAX |
Email |
Mail |
| Paper Enrollment Form |
855-867-6711
(Preferred method of submission) |
N/A |
Mutual of Omaha Rx
PO Box 3625
Scranton, PA 18505-9811 |
| Scope of Appointment |
402-599-5822 |
scope@omahapdp.com
(Preferred method of submission) |
N/A |
All paper enrollment forms MUST be received by Mutual of Omaha Rx’s enrollment processor within 48 hours after the signed enrollment date.
