Create Your Account

If you're a ProAct member or a spouse / dependent, register for an online account today to get access to your claims history and more. Have your benefit card on hand. You’ll need it for the verification step.

Credentials

Valid email address. Example username@example.com

Username

Valid letters, numbers, spaces and punctuation: ()@/" "-_&#:,.!?
5 to 254 characters
Contains no spaces

Password

9 character minimum
1 upper case
1 lower case
1 number
Contains no spaces

Security Questions

Question 1 *

Invalid question

My Write-In Question

Answer 1

Question 2 *

My Write-In Question

Answer 2

Question 3 *

My Write-In Question

Answer 3

Agreements

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I have read and agree to the Terms of Service. *

Create Your Account

Registration

Credentials

Security Questions

Agreements