Individuals Registration

First Name:   Home Phone:
Middle Initial: Cellular:  
Last Name:      
Second Lt Nm:    
Confirm Password:      
Security Question:  
Confirm Answer:      

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Save time by filling with information from the previous application in your account.

Application Info

By filling out this registration you will be granted access to all information regarding your rights under the Affordable Care Act.

This information will be periodically updated to reflect any new changes brought on by new Federal or Puerto Rico legislation.

This will also permit you to solicit, review, and select the medical plan of your choosing at the most cost effective price.

Application FAQs

One time registration gives direct access to Non Bias information regarding your medical Plan options.

Need Help?

For assistance please call

Fax: 787-903-5669

or email your question to: