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We’re excited to have you join the association!

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Join the Association

Payment

Accept Adoption Agreement

Determine operator strategy

complete the signup with vendor bridge

Becoming a Member*

Complete the below join form and process payment (est. 5 min)
If joining the healthplan, complete the below steps:
- Adoption Agreement (est. 1 min)
- Strategy Selection (est. 10 min)

*Please be sure to complete all steps in this process to finalize your membership and ensure your benefits are active.

The sign up and agreement process takes about 5 minutes and you will be directed to your Operator Strategy Form from the Adoption Agreement.

"*" indicates required fields

Step 1 of 5

This field is for validation purposes and should be left unchanged.

Name*

First Last

Entity Name*

(Ex: ABC Enterprises, LLC.)

Type of Entity*

Current FEIN listed with CFA*

Operator Number*

Address Associated with your FEIN*

Street City State ZIP Code

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