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 offices will be closed on Monday, September 1, 2025 for Labor Day. Normal office hours will resume on Tuesday, September 2,2025 at 8:00 AM.
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