Benefit Enrollment Center REFERRAL FORM
Helping low-income Medicare beneficiaries throughout Indiana obtain the “extra-help” benefits they may be missing out on.
Fill out and submit the BEC Referral Form below
The League office will be closed on Monday, January 19, 2026, in observance of Martin Luther King Day. Our office will resume normal hours on Tuesday, January 20, 2026, at 8:00 AM.
For information on League hours, visit our website at www.the-league.org.
Benefit Enrollment Center REFERRAL FORM
Helping low-income Medicare beneficiaries throughout Indiana obtain the “extra-help” benefits they may be missing out on.
Fill out and submit the BEC Referral Form below