2026 New Client Inquiry Form

Complete the New Client Inquiry Form to start the quoting process. 

Email us the completed form to: forms@beachcityhealthinsurance.com

Request for Employment Information (CMS-L564) - EMPLOYER TO COMPLETE

Your employer must complete this form on your behalf to enroll in Part B. This form must be submitted along with CMS 40B

Application for Enrollment in Part B

(CMS-40B) 

You must complete this form to enroll in Medicare Part B. You will need to submit the Request for Employement Information CMS L564 form along with this application. 

Medicare Coverage Options

There are 2 main ways to get your Medicare coverage click to learn more. 

2026 Medicare Part B and D Costs

Medicare Supplement (Medigap)

2026 Medicare & You Handbook

2026 Medicare Basics 

Inflation Reduction Act - 2023 Handout

Medicare Prescription Payment Plan (M3P) 

Understanding Your Medicare Premium Bill (CMS-500)

4 Ways to pay your Medicare Premium Bill