Enrollment

Welcome to Harvard Pilgrim!

Thank you for choosing us for your health insurance needs. We're glad to have you enroll in your employer's plan online --- it's easier and faster than filling out paperwork! When you're done filling out our electronic form, your employer will review your information and finalize your enrollment.

Before you start

Please be sure to have some key information ready, and set aside 10-20 minutes to complete the form.
  • Your employer's 10-digit ID number. Please contact your HR department if you don't know this number.
  • The date you want your coverage to start.
  • The plan that you want to enroll in. The plans you can select from are provided by your employer.
  • Social Security numbers and dates of birth for each person you'll be covering on your plan.
  • Primary care provider (PCP) names for each person you're covering on your plan, if the plan you're enrolling in requires PCPs.
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