Representative or Designee Registration

  1. Current: Your Info
  2. Create Account
  3. Security Questions
  4. Review & Submit

Use this form to register as a representative or designee for an Excellus BCBSUnivera Healthcare member.
If you're a member, use this link to create a member account.

Enter the 9-digit authorization number.

Modal for Legal Statement

 

GDPR Notification Content