Employer enrollment
Welcome to employer enrollment
The enrollment process will take approximately 10 minutes to complete. During your enrollment, you will be asked to provide basic company information.
What you’ll need
- Legal name
- Tax ID
- Phone number
- Number of employees
- Physical address
- Contact person
- Contact email address
Need help?
Questions? Call us at 866.382.3510 between 7:00 am and 7:00 pm CST, Monday through Friday.
The enrollment form is hosted on our secure portal. Click below to continue.
Continue to enrollment