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 will be closed on Friday, June 19, 2026 in observance of Juneteenth.
We will resume regular business hours on Monday, June 22, 2026.
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