As an authorized employer, you will be able to view and access valuable account and medical information online.
Enter employer information in the form below and then click the Register button.
* Indicates required information
You will need to select and answer a minimum of 4 security questions. The questions will be randomly displayed in
the event you forget your password. After you enter the question correctly you will be allowed to reset your password.
Select 3 unique questions and enter one of your own questions below.