Emails are answered in the order in which they are received. Please allow up to 72 hours for a response. Name: Benefits Identification Number (BIN): Telephone number: Numbers only. Do not include parentheses or hyphens. Email address: Subject: Subject: - Select -Certificate of Creditable CoverageContact information/name changeInsurance ID cards/claimsMedicareRetiree insurance eligibilitySpecial eligibility situation (e.g., marriage, birth, adoption)Other … Message: No special characters. Leave this field blank
