Register

Important: To register with this site, you must have an Employee ID and a Registration ID, which is either your Employer’s Employer ID or your Benefit Debit Card Number.

Instructions
  1. Please enter your desired User Name.  The User Name must be between 8 and 16 characters long.
  2. Enter a password, which meets the criteria listed below. Please do not use your name within your password.
  3. Enter your First Name and Last Name as they were provided to your employer at enrollment.
  4. Provide an Email Address.
  5. Enter your Employee ID.
  6. For Registration ID, select the ID type you wish to use and then enter your Employer’s Registration ID or your Benefit Debit Card Number.
  7. Check the Accept the Terms of Service check box.
  8. Click Register

Password Requirements: 
A valid password must contain between 8 and 16 characters.

In addition, a password must include 3 of the following 4 types of characters:

  • An Upper Case Letter
  • Lower Case Letter
  • A Special Character (such as %, !, @, etc.)
  • A Number

In addition, a password CANNOT:

  • Contain the same character repeating 3 or more times, for example, 'AAA' is invalid
  • Contain the word 'password'
  • Contain the username
  • Contain spaces

All fields marked with a red arrow are required. - (Note: - Registration may take several seconds. Once you click the Register button please wait until the system responds.)

Enter a username. It must be between 8 and 16 characters long (alphanumeric value)
Enter your password
Re-Enter the password to confirm you typed it correctly
Enter a First Name
Enter a Last Name
Enter a valid Email address
Enter your Employee ID. This ID was assigned by your Administrator and could be your Health Plan Member Number, Social Security Number, an ID provided by your Employer or an alternate ID created by your Administrator. If you do not know your ID or were not provided an ID, please contact your Administrator. This field is case sensitive.
Enter your Registration ID. This is either your EmployerID or Card Number.
You must accept the site Terms of Service to register.
A password must contain 3 of the following 4 supported types of characters:
  • An Upper Case Letter
  • A Lower Case Letter
  • A Special Character (such as %, !, @, etc.)
  • A number