In order to register you on-line, we need some basic information about you
Member I.D & Policy Number: you can find this information from Annual Statement of Coverage
Member I.D.:
(6 digits no spaces)
Date of Birth:
(dd)
(mm)
(yyyy)
Policy Number:
(any one of your existing policy numbers)
Home E-Mail:
(the one you are actually using!)
Password:
(min 6 characters, alpha or numeric)
Confirm Password:
(min 6 characters, alpha or numeric)
Prompt:
(eg. mother's maiden name)
Answer:
Please click here to register