Getting Started:

please follow the steps below

1

Fill out and submit the Group application form

2

Complete the ACH authorization form

3

download and fill out a member Census

You may also use the online Employee Listing form to enter all your group members.

When completing the Member Census, make sure you do not alter the Field Titles and only enter the required information below each Field Title.

4

upload the completed census file

Complete the form below and upload the file unless you have already submitted the Group Employee List you created above.

Group Census Upload
Name
Name
First Name
Last Name

Maximum file size: 268.44MB


Pricing Table
Membership PlanPrice
Individual$54.99
Couple$109.98
Adult + Children$145.99
Family$196.99
Per membership per month price listed


Change Request
Change Request Form
Name
Name
First Name
Last Name
if you do not have an agent, enter your own name
if you do not know your Group or Organization name, enter your employer name
if you are self-employed, enter your own name

Maximum file size: 268.44MB