Simply print and complete the paper Enrollment Form found below and mail or fax the form to us at:

Fax: 866-238-1736 or 541-672-8670

You can also bring your completed Enrollment Form to our local office.

You must also complete and submit the Attestation of Eligibility Form along with your Enrollment Form. To view plan information including Summary of Benefits and Star Ratings, go to Plan Options.