If you are in need assistance completing the Enrollment Form please contact NEBA’s Enrollment Department at: (888) 815-8329 weekdays from 8:00 a.m. – 5:00 p.m. EST or select the "Get Assistance" button below.
Coverage Tier | Core Coverage Employee Contribution Rate | Enhanced Coverage Employee Contribution Rate |
---|---|---|
Employee Only | $5.00 | $27.00 |
Employee and Spouse | $10.00 | $46.00 |
Employee and Child(ren) | $8.00 | $37.00 |
Employee and Family | $15.00 | $50.00 |
Click the "Enrollment Website" button below to get started. Remember, if you are enrolling new dependents you must provide the applicable documentation for each new dependent while completing the Enrollment Form. Your dependent documents can also be uploaded via the Secure File Upload button below.
Enrollment Documents: