Join Your Benefits Plus Now

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Member Information

(must be 18 years or older)
      

Dependents

This is for Legal Dependents

 
      
Please Note: You have selected an individual add-on with dependents on the membership. The product will be added to the primary member. If you want the product to be added to one of your dependents complete this application and call member services at (877) 819-3870;

Click 'Save and Continue' or select a different product.
Please Note: Your Careington Dental benefit will be effective August 1, 2019. Should you have any questions regarding this benefit, please contact Your Benefits Plus Member Services at (877) 819-3870

Click 'Save and Continue' to continue with your membership application.

Payment schedule

      

Initial Payment

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Add Ons
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Total Initial Payment Amount
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Initial Payment Method

           
                                   
      

Recurring Payment

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Add Ons
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Total Recurring Payment Amount
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Recurring Payment Method

Select the payment method to be used for recurring payment
                                   
      

Terms and Conditions

PLEASE ENTER YOUR NAME BELOW TO ELECTRONICALLY SIGN YOUR APPLICATION.
PLEASE RE-ENTER TO CONFIRM YOUR APPLICATION.

PLEASE NOTE: If you press Submit Application button twice, the credit card may be charged twice. After clicking Submit, it will take several seconds to process the application. You will see a confirmation message after the application has been processed.

Disclosures The Benefits described are offered at the sole discretion of Your Benefits Plus and may vary by availability, package option, vendor and state of residence. Vendors reserve the right to withdraw or change their offers without notice. Your Benefits Plus makes no affirmation of fact or promise relating to the goods and services, and specifically disclaims any warranty, expressed or implied, as to the merchantability of the goods and services reflected. To be entitled to Your Benefits Plus Benefits you must be a Member in good standing and dues must be in a current status.

Notice of cancellation: You may cancel your membership at any time upon notification to Your Benefits Plus. Upon notification, you must specify the termination date of your membership. If your membership is terminated prior to your membership’s paid through date, then you will receive a refund of any unused dues, without deductions.