Apply for Benefits
Completing your initial application is simple:
Step 1: Provide your personal information (name, address, and provider license number, if you have one).
Step 2: Review your details and submit your application online or by mail.
Once your application is approved, you’ll receive:
-
Dental and vision coverage
-
Basic group life insurance
-
Provider Assistance Program (PAP) services (offering counseling and wellness resources.)
Want to access reimbursement benefits too?
Submit proof of coverage in a Qualified Health Plan with your application. If you don’t have proof ready, don’t worry—we’ll follow up with you to collect it later so you can extend your eligibility.
Looking for Guidance?
Watch this video for step-by-step instructions on how to apply