Enroll Now

Congratulations on taking the first step in obtaining quality healthcare at low costs for you and your family. For your convenience, there are 3 simple ways that you can now enroll in the LifePerks benefits program:

Enroll Online Now!

Fill out the application form online and pay by credit card or bankdraft through PayPal

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Enroll by Fax or Mail

You can download the application form (pdf), fill it in and either send it to us via fax at 1-800-643-6108 or via mail at PO Box 160908, Austin, TX 78660

Enroll by Phone

Call our Customer Service Representatives toll free at 1-800-643-6108 from 9am until 5pm CST.
After business hours, just leave your name, number and the best time to reach you, and a Customer Service Representative will return your call when it is convenient for you