Enrollment Part 1: Create Your Account

Complete Part 1 of the enrollment process to create your EEZEE Choice account. Make sure to fill in all “required” fields and click the green “Click Here to Select Your Plan” button to continue to Part 2 of the enrollment process.

    CONTACT INFORMATION

    PARTICIPANT ID

    Note: You are now creating your login credentials. Your username and password cannot be changed once you have established your account.

    AGE

    Work Location



    DEPENDENT(S)

    Add A Dependent

    Add A Dependent

    Add A Dependent

    Add A Dependent

    Add A Dependent

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