Register for online services

Choose how you want to register. The hackathon concept adds a QR code path that securely pre-fills eligible plan details from a member card, welcome letter, or employer benefits packet.

⚡ Recommended — under 60 seconds

Envelope Zero QR

Scan a QR code from your card or welcome letter. Envelope Zero pre-fills plan lookup fields, but the user still enters their first name, last name, and birthday to verify identity.

Traditional path

Enter details manually

Use member ID, name, date of birth, ZIP code, and group information. Best if you do not have your QR code nearby.

Enrollee ID

First name *

Last name *

Birthdate *

Only basic identity fields are needed.

Username *

Choose one of these available usernames or enter your own.

Must be at least 6 characters consisting of letters and numbers only. In this demo, any value can continue.

Password (case-sensitive) *

Must be at least 8 characters and include an uppercase letter, a lowercase letter, a number, and a special character.

Confirm Password *

Email Address *

Must be in the format: name@domain.example.

Confirm Email *

Select a challenge question and enter an answer. If you forget your password, the system will prompt you with the challenge question.

Challenge Question *

Challenge Answer *

Must be 4-30 characters consisting of letters, numbers, or - ' . #

Go Paperless

Choose online delivery to receive an email notification when you have a new document. You’ll need to log in to get the document; personal information is not sent in unsecured email. Learn more...

I want my plan documents delivered:

Online
Receive email notifications when new statements can be viewed online. Mail
Receive paper statements by mail. No email notifications.

Plan documents include official correspondence only. The specific documents depend on your plan type and may include policies, evidence of coverage, certificates of coverage, claims information, billing, and invoices.

By requesting to receive plan documents online, I acknowledge that I have read, understand, and agree to the Electronic Documents Terms and Conditions. I certify that I have read and agree to all Terms and Conditions and understand that my information will be collected and used as described in the Website Privacy Notice and Notice of Privacy Practices.

✓

Registration complete

Your mock online account has been created. Your digital ID card is ready to save, print, or add to a mobile wallet.

Envelope Zero

Digital Member ID Card

PPO™

Member

Provided by user

Status

Active

Member ID

Group

Hackathon demo card — not valid for care or benefits.

Prototype actions generate mock files only. No real insurance credentials are created.

Register for online services

Envelope Zero QR

Enter details manually

Go Paperless

Registration complete

Add to Apple Wallet