Enrollment Information


How to enroll?

Complete the enrollment form below and return it to your local branch representative. (They will notify when you will be eligible for benefits)

Enrollment Form 2017

Enrollment Form (Spanish)

How do I access a medical provider?

How To Find A Provider? (Spanish)


Can I track my benefits online?


You will need to register with Ebam first. You will need your group number. You can obtain this from your local branch representative.

You can do this at:


Is there an App that I can install and monitor my membership?


You can download the app at the address below: