NOTICE REGARDING MEDICARE ELIGIBILITY

Pursuant to IC 27-2-29-7, [COMPANY NAME] is providing notice that you may soon be eligible to enroll in Medicare. Your Initial Enrollment Period will begin three (3) months before your sixty-fifth (65th) birthday. In most cases, an individual covered by a Marketplace plan will benefit from ending their Marketplace coverage and enrolling in Medicare. Upon your transition to Medicare, Marketplace coverage will continue to be available for other individuals listed on your Marketplace application.

If you have Medicare coverage, you are not eligible to use the Marketplace to buy a health or dental plan, nor can a Marketplace plan sell you a new policy that would duplicate your Medicare coverage. Also, once Medicare Part A (Hospital Insurance) coverage starts, you will no longer be eligible for any premium tax credits or other cost savings you may be getting for your Marketplace plan.

It is important not to end your Marketplace plan until you know when your Medicare coverage starts. Once you end Marketplace coverage, you will not be able to re-enroll until the next annual Open Enrollment Period (unless you qualify for a Special Enrollment Period).

We encourage you to contact Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) to verify if you are eligible for Medicare coverage. Additionally, Indiana's State Health Insurance Assistance Program (SHIP) is available to answer questions online at https://vvww.in.gov/ship or by telephone at 1-800-452-4800. Missing the initial enrollment period for Medicare can result in penalties, increased costs to have Medicare, and delays in getting enrolled. More information on transitioning from Marketplace coverage to Medicare is available at healthcare.gov - Medicare and the Marketplace.