Scripta Savings

Member Registration

Please complete a minimum of 5 fields below. You must match on at least 4 fields that have been provided by your benefit plan administrator about yourself or the insured/sponsor.

First name:

Last name:

Member Date of Birth (REQUIRED):

Last 4 digits of member Social Security #:

Member home zip code:

Member ID / Insurance ID# (from insurance card):

Information about the insured (employee or sponsor member)

Last 4 digits of Employee ID# or Company ID#:

Insured's hire/start date:

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