Medicare Resources for Employers

If you have employees ready for Medicare or coming off of a group health plan, you may need these documents. 

To meet with an Employer Outreach Specialist please contact us at 614-802-7302.


Request for Employer Information (pdf)

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APPLICATION FOR ENROLLMENT IN MEDICARE PART B (MEDICAL INSURANCE) CMS-40B Exp 2020 (pdf)

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2020 - Medicare Amounts (pdf)

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Medicare Easy Pay - Pay Part B (pdf)

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2019 Your Guide To Who pays First (pdf)

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2019 High Income Earners (pdf)

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How to Apply Online for Medicare Only (pdf)

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