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Honeywell International Inc. fax number

(866) 405-0061

Benefits Center / Health & Welfare Benefits

Used for: Submitting Medicare enrollment information and benefit documentation via Toll-Free Fax 866-405-0061 to Honeywell's Benefits Center. Primarily used for CMS-L564 (Medicare Request for Employment Information) submissions and related enrollment activities (e.g., Medicare Part B enrollment).

Fax destination details

Department
Benefits Center / Health & Welfare Benefits
Purpose
Submitting Medicare enrollment information and benefit documentation via Toll-Free Fax 866-405-0061 to Honeywell's Benefits Center. Primarily used for CMS-L564 (Medicare Request for Employment Information) submissions and related enrollment activities (e.g., Medicare Part B enrollment).
Form
CMS-L564 (Medicare Request for Employment Information) — CMS-L564: Medicare Request for Employment Information; CMS-40B: Application for Enrollment in Medicare Part B
Voice phone
1-877-258-3699

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Employer completes CMS-L564, including Section B; submit CMS-L564 with CMS-40B per CMS guidance for Special Enrollment Periods. See CMS forms page for official instructions.

Review official form instructions

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