Enrollment Recording - Nat Ver HMO Applicants English

This recording should be recorded and uploaded after the enrollment is created, and the HMO FLAG is displayed.

Nat Ver will confirm eligibility in usual timeframes. If everything is correct on NatVer's side there is a chance the enrollment will get qualified right away. Regardless of the enrollment status (pending, or qualified), the agent must upload the recording to the applicant's profile for the internal disclaimer and also the HMO disclaimer (if matches an HMO list).

Agents will not know if the customer has been approved by Nat Ver until the validations are completed after the enrollment creation.

For TX CSR Enrollments: agents have to upload the recording for the TX disclaimers, Lifeline Household Worksheet, and HMO disclaimer (if matches an HMO list).

The recording procedure is not available in the state of California.

Pre-Recording explanation

Mr Customer, to complete the application I will be conducting a recording to confirm and have on record, that you are requesting the Lifeline Benefit through Safelink Wireless. During the recording, I will be asking your personal information and read the applicable disclosure statements.

Please, be guided that the only acceptable responses to create a clear and clean recording are direct answers pertaining to the information being asked.

If the question is answerable by YES or NO, kindly just respond “YES” if you agree. Otherwise, just respond “NO”.

We will begin the recording now

Recording

Today’s date is MM/DD/YYYY.

Mr. XXX, your answers to the questions that will be asked are provided under penalty of perjury therefore you must provide true and correct answers.

Do I have your permission to record the confirmation of your personal information?

(Customer must say YES)

This is the recording for SafeLink Enrollment ID # XXXXXX.

Could you please confirm your complete name to me?

Could you please confirm your complete address?

Could you please confirm your Date of Birth?

Could you confirm the last four digits of your SSN?

You are selecting SafeLink as your Lifeline provider. Once we receive confirmation of your eligibility from the National Verifier, we will automatically enroll you with SafeLink. If you currently receive Lifeline from another provider, your other Lifeline benefit will be terminated.

(Customer will answer YES or NO)

Do you authorize SafeLink to communicate any information provided to the Universal Service Administrative Company for the purpose of providing Lifeline service to you?

(Customer will answer YES or NO)

HMO DISCLAIMER

Do you consent to provide enrollment information, including your new phone number to the health plan and anyone acting on the health plan's behalf and consent to calls or text messages generated by automated technology being sent to that number that provide information regarding your health plan or health-related issues (including nutritional, medical and healthcare information and reminders).

(Customer will answer YES or NO)

Consent to these messages is not a requirement to enroll in the SafeLink Wireless program. If you do not want to consent to such calls or texts, you may continue with your application.

(Customer will answer YES or NO)

Only for New Mexico customers read the following

You certify under penalty of perjury that you do not reside in Federally-Recognized Tribal Lands or reside in the area of a Chapter House of the Navajo Nation within the Eastern Navajo Agency.

Thank you! We have finished the recording.

End recording

Thank you! Please allow me to place you on hold while I upload this recording to your enrollment.

Do not upload the recording in the attachment section. The recording must be uploaded to the FORM section only.