Request to Enroll
Prior to submitting this request, please review the eligibility requirements and verify with your health plan administrator that this program is available to you. We will respond with next steps via email.
Note: Program information and requirements will be sent to you via email. In some cases, emails may be found in your “junk” email folder. If you do not see our email within 2 business days of submitting your request, please contact our Wellness Department.