Escalation Form for Authorized Broker
Customer account and/or enrollment Escalation Form to be submitted by the authorized Broker of Record for that account. This form is to be used only after you have contacted the Service Center to escalate the problem and have not received resolution within the time frame allotted, 7-10 business days for normal priority or 3-5 business days for Medical Need. This form is not for Broker Portal, Training Portal, or BOR/Commission issues. Please contact the Broker Team [email protected] for information on Broker specific issues.