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 Thursday and Friday, November 27-28, 2025, for Thanksgiving. The office will reopen on Monday, December 1, 2025.
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