Create your Account

PASSWORD GUIDELINES:

Minimum of 6 characters

Maximum of 8 characters

Must contain at least 1 numeric character.

CONTACT US
Customer Service E-mail
cobra@ebpabenefits.com
Customer Service
Monday - Friday 8:00am - 5:00pm EST
1-888-232-3203
Create Account

To create an account please fill out the form below. The only time you will be asked to provide this information is when you create your account. All subsequent logons require email addresse or user name & password only.

SSN/Member ID: *

First Name: *

Last Name: *

Zip Code: *

Email Address:

User Name: *

Password: *

Repeat Password: *

Password Hint Question: *

Password Hint Answer: *

Refresh

Text Verification Code: *