If you are a Priority Health Employer complete these steps to request
an online user account. It may take up to a week for us to verify your information and give you access to your online account.
- Required fields are indicated by *
- Field help is available by clicking
Employer Information
1. *Enter the Company Name - the name of the employer you
represent.
2. Enter the Priority Health employer Group Number.
3. If applicable, enter the Sub Group Number(s) for the sub-groups
you represent.
Note: Separate multiple sub groups with a comma (,).
4. *Enter the mailing address of the employer in Address Line
1.
Note: This can be a street address or a post office box.
5. Enter any additional address information in Address Line 2.
6. *Enter the name of the City.
7. *If other than the default of Michigan (MI), select the State
from the drop-down list box.
8. *Enter the five-digit Zip Code.
Note: Do not enter the zip code extension.
9. Enter the name of Office Contact/Manager.
User Information
10. *Enter your First Name.
11. *Enter your Last Name.
12. Enter your Job Responsibility or title.
13. *Enter your full E-mail Address, in the following format:
yourname@domain.com
14. *Enter the Phone Number of the employer contact in the four
fields provided.
Note: Area code should be entered in the first field. An extension
is not required.
15. Enter the Fax Phone Number of the employer contact in the four
fields provided.
Note: Area code should be entered in the first field.
16. *Enter the User Login Name that you want to use to access
your account.
- Usernames must contain 6 to 12 characters.
- Use letters and numbers only, no special characters or spaces.
17. *Enter the Password that you want to use for your
account.
- Passwords must be 8 or more characters, and contain at least one number
and one letter.
- Passwords are case-sensitive, so note wherever you use a capital letter.
18. *Enter the password a second time in the
Password Confirmation field to verify it's exactly what you want.
Internet Connection Type
19. Select the appropriate Internet Connection Type:
- Select Dial-up (telephone modem) if you connect to the Internet
through a phone line.
- Select Broadband (DSL/Cable/T1) if you connect to the Internet
through a high-speed connection.
- Select I don't know if you are unsure the type of the Internet
connection type.
Tools
20. Select the online tools you want to use. Several default tools are selected for you. You must select at least one tool.
Subscription E-mail
21. To receive periodic e-mail newsletters from
Priority Health, make sure the Subscription E-mail checkbox is checked. If you do not want
to receive these e-mail newsletters, click to deselect this checkbox.
22. Click CONTINUE.
The Account Request Security Questions page is displayed.
SECURITY QUESTIONS
23. *Select a question from the Question 1 drop-down box.
24. *Enter the answer to the question in the Answer 1 field.
25. *Enter the answer a second time in the Retype Answer 1
field. It must match your first answer exactly.
26. *Repeat Steps 22 - 24 to select two more questions and enter the answers.
27. Click CONTINUE.
The Employer Account Request Terms and Conditions of Use page is
displayed.
TERMS AND CONDITIONS OF USE
28. Read the Terms and Conditions of Use page carefully.
- You must accept the terms and conditions to access member and billing information online.
- If you do not agree to abide by the Terms and Conditions of Use, click
I DO NOT AGREE. You will be returned to the Priority Health web site home
page.
- If you agree to abide by the Terms and Conditions of Use, click I
AGREE.
The Account Request Submission Confirmation page is displayed.
ACCOUNT CONFIRMATION
29. Review your account request.
A Priority Health Web administrator may call you to verify your information. Then, we will e-mail you to tell you that your online account access has been approved or
denied.
