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Everyday Well - Member Portal

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Member Documents

Privacy Forms
Commercial Continuity of Care Form

Claim Reimbursement Form

Request to Establish Out-of-Area Address
Step Therapy
Step Therapy (Spanish)
Request to Renew Health Coverage - Disabled Dependents

2017 Policy and Plan Coverage Documents

Small Group PPO Certificate of Coverage
Small Group Evidence of Coverage
Large Group PPO Certificate of Coverage
Large Group Evidence of Coverage

Individual PPO Policy
Individual Evidence of Coverage


Teladoc connects you 24/7/365 to a national network of doctors via web, phone or mobile app. Within minutes, a doctor will contact you ready to listen and resolve your minor issue. If medically necessary, a prescription will be sent to a pharmacy of your choice. It’s healthcare in the palm of your hands.


The Active&Fit Direct™ program is a unique service offered to our commercial members to help you live healthier, more active lives. With access to a broad network of participating fitness centers and YMCAs, at a cost well under market prices, you can find a facility that's most convenient for you. By joining the Active&Fit Direct program, you also have access to online tools such as a fitness center search, activity tracking, educational resources, and more.

Click here to enroll.


MedlinePlus is a free service offered by the U.S. National Library of Medicine under the National Institutes of Health. It provides free, easy to read health information and tools for all ages and stages of life. The information is available on demand in over 20 languages.