This website conducts test transactions only. Enrollments created with this web application are NOT VALID.


Reprint ID Card / Policy Documents

In order to access your previous enrollment information, please provide the following information: Your First and Last Name; OR the Member ID number from your insurance ID card; AND your Birth Date.

A link will appear on the next page to allow you to download the documents

First Name
Last Name
OR
Member ID  
OR
Student ID  
AND
Birth Date   (MM/DD/YYYY)
Test Mode