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 prescription 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

Password

9 character minimum
1 upper case
1 lower case
1 number

Security Questions

Question 1 *

My Write-In Question

Answer 1

Question 2 *

My Write-In Question

Answer 2

Question 3 *

My Write-In Question

Answer 3

Agreements

Email me occasional newsletters and updates.

I have read and agree to the Privacy Policy. *

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

Create Your Account

Registration

Credentials

Security Questions

Agreements