Upon completing this form, we will prepare your customized, comprehensive enrollment packet, which is necessary to complete your enrollment. If additional information about your or your business is needed, online support representatives will contact you.
If the initial enrollment form provides us with all of the required information, your enrollment packet will be sent via DocuSign by INTRUST within the next 48 business hours. DocuSign will allow you to electronically sign all documents in a secure, paperless online environment.
If you wish to receive the enrollment form via mail, please 3-5 business days for delivery. Once the contract is signed and returned to us, we’ll process the enrollment and you’ll receive your login credentials within 2 business days.