Change an Employee's Membership Details

We’re hard at work adding this functionality into our Portal directly so that you see your changes in real time! In the meantime, rest assured that our team will receive and execute all form submissions within a business day.

Change an Employee’s Membership Details

Employer Name(Required)

Your Name

First Last

Employee Name(Required)

First Last

Employee Email(Required)

Effective Date

Effective Date defaults to the first day of the next month. If it is past the 25th of the current month, it will be the first day of the next full month. If a change occurs on March 24, it will be effective April 1. If a change occurs on March 26, it will be effective May 1.

Change Requested(Required)

Please let us know what you would like us to change on this Member’s record.