Welcome to blend benefits Fall Specials
Please complete the form below. Allow 2 weeks for delivery of membership card and booklet. Contact the Member Support Team at 800-800-7616 Monday through Friday between 7:00 am and 7:00 pm and Saturday between 8:00 am and 5:00 pm Central Time if you have questions. Assistance available in English and Spanish. When your card arrives, log onto MemberPortal.NewBenefits.com to use your benefits. Download the app on Google Play or in the App Store. This is NOT insurance.
Full Name
*
First Name
Last Name
Date of Birth (required for telemedicine benefits)
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Month
-
Day
Year
Date
Delivery Address for membership card
*
Street Address Line 1
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
E-mail
example@example.com
Names of other household members under age 26:
First Name
Last Name
Date of Birth
1
2
3
4
5
Select your membership
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Standard Annual Membership - 25% discount
$
435.00
Quantity
1
2
3
4
5
6
7
8
9
10
Value Annual Membership - 15% discount
$
291.00
Quantity
1
2
3
4
5
6
7
8
9
10
Basic Annual Membership
Telemedicine, dental, Employee Assistance Program (EAP)
$
195.00
Quantity
1
2
3
4
5
6
7
8
9
10
Submit
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