PDP Electronic Enrollment
Access to the PDP electronic enrollment can be found on Sales Professional Access (SPA- www.mutualofomaha.com/broker). 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
A PDP enrollment packets can be order through regular channels –
Fax the order form or call Sales Support @ 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 either via 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.
