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SOA Scenario

Dental question drifts into an MA quote

Inbound call about standalone dental turns into an MA plan pitch.

Training material only. Not legal, compliance, or enrollment advice. Always defer to current CMS guidance, your FMO's compliance team, and your carrier certifications. See disclaimers.

Scenario

A beneficiary calls the agent's business line asking about a standalone dental plan. Twelve minutes in, the conversation shifts to Medicare Advantage benefits and the agent quotes a specific MAPD plan by benefit design. No Scope of Appointment was collected before the MA discussion began.

Evaluate the agent's conduct

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Sources

Reviewed Jul 15, 2026 · GoAEP editorial

Not marketing material. Not for consumer distribution. CMS rules evolve — verify against current guidance before use.

Educational drill only. Rules and CMS guidance evolve — always defer to current CMS publications, your FMO compliance team, and your carrier certifications.

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