Login

Username:

You must enter a username

Forgot Username

Password:

You must enter a password

Forgot Password

Submit

Or click here to register

Plan Information:

Domestic Brochure

International Brochure

Locate a Provider:

Anthem

Helpful Links:

Register

First Name: Limited to 15 characters

First Name is required field

Last Name: Limited to 15 characters

Last Name is required field

Date of Birth:

Please enter a valid date

School Assigned ID: Add leading zeros if Student ID is less than 9 characters. (ex: 000123456)

School Assigned ID is required field

Zip: First 5 digits only

Zip is required field

Your email address (Username): Enter the email address you would like to have as your username. This is the email address where you will receive your registration confirmation, secure message notifications, and other important updates from AmeriBen so please make sure this is a valid, private email address. AmeriBen will never share your e-mail address with anyone.

Required Field

The email address you entered is invalid. Please enter a valid email address.

Email Address Confirmation:

The email address confirmation does not match your email

Password:

Show

Password is required

Invalid password

Password Confirmation:

Show

Password Confirmation is required

Passwords don't match

Submit

Return to login to your account