Since you have group creditable coverage, you can wait to enroll in Medicare Later. Simply do not enroll at this time. you will be asked to provide proof of creditable coverage when you enroll later.
The Request For Employment Information form provides the creditable coverage information to avoid a Medicare Part B penalty when you enroll after age 65. This form is not required until you are ready to enroll.
- There is no need to notify Medicare now if you are not enrolling.
- No need to keep this form, we can provide the current version when you are closer to enrollment.
- If you change jobs after age 65, you will be required to get this form completed by each employer that provided Group Health Benefits after age 65.