SEP Marriage Information

Great! You’ve taken the first step.

This is an exciting time, and you have a lot of preparation to do before you say, “I do”. Let us help by sending you important information and dates for adding health coverage during a Special Enrollment Period.

1. Are you a current member of Priority Health? *This question is required.

2. What is the date of your qualifying life event? *This question is required. This question requires a valid date format of MM/DD/YYYY.

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3. First name *This question is required.

4. Last name *This question is required.

5. Email *This question is required. This question requires a valid email address.

6. Phone (include area code) *This question is required.

7. County *This question is required.