Links and information for our members, administrators, brokers, and providers.
Welcome to the customer information page. On this page, you will find helpful links, contact information, and our provider nomination form.
We are here to assist you! Please contact us and let us know how we can serve you.
Find a Dental Provider
Find a Vision Provider
Login to My Account
If you need to contact us for any reason, please call 205-451-0444.
For billing questions:
Call 205-343-1244 or email firstname.lastname@example.org.
For eligibility questions:
Call 205-343-1233 or email email@example.com.
Broker Login - Coming Soon!
If you need to contact us for any reason, please call please call 205-451-0451.
Dental Claim Form
Vision Claim Form
Accident Claim Form
Critical Illness Claim Form
Wellness Benefit Claim Form