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
SAVE THE DATE: The 11th Annual Suds in the City Gala will be held on Thursday, April 30, 2026, at the Parkview Mirro Center. More information will be available soon.
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