Annual Election Period

Annual Election Period

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Medicare Forms

APPLICATION FOR ENROLLMENT

PROOF OF EMPLOYMENT

DISENROLLING FROM PART B MEDICARE

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Our licensed insurance agents are independent contractors of West LA Baby Boomer Insurance Services (CA license #0H45182) who work with Medicare beneficiaries to explain Medicare Advantage, Medicare Supplement, and Prescription Drug Plan options. West LA Baby Boomer Insurance Services represents Medicare Advantage organizations that have a Medicare contract. Enrollment depends on the plan’s contract renewal. We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE (TTY users should call 1-877-486-2048) 24 hours a day/7 days a week to get information on all of your options.

West LA Baby Boomer Insurance Services, 1821 Wilshire Blvd., Ste. 402, Santa Monica, CA 90403
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