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FORMS & RESOURCES
Medicare-Related Forms
Leaving Employer Group Health (Delayed Part B Enrollment)
CMS-L564E (Employer HR Completes)
CMS40B-E (Employee Completes)
Other Medicare-Related Forms
Part D Late Enrollment Penalty (LEP) Reconsideration Request Form
SSA-561 Request for Reconsideration
CMS-1490 (Submit claim directly to Medicare)
Healthcare.gov Forms
Resources
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