To enroll in one of these plans please print the enrollment form, fill in all of your information,
sign the form and mail it to:
ATT: Enrollment 2609 E. Hammer Lane Stockton, CA 95210 Or if you would like to schedule someone to pick up your enrollment form please email Member Services or call the number listed above to request a date and time. If you would like your monthly premium deducted electronically from your bank account please print the EFT transfer form, fill it out, sign and return it with a void check with your enrollment form. |
Links |
|
Enrollment Form (2008) Enrollment Form (2009) EFT Transfer Form Member Services |