You must sign and submit the form to your payroll or benefits office to complete enrollment.

If you like, we can send you a reminder.

*Editing your email address will update your profile.

After your form has been submitted:

  • You should begin receiving your benefits via Direct Deposit in 1-2 pay periods.
  • You can monitor your Direct Deposit transactions at or by calling customer support at 866-871-2416
  • For questions regarding the status of your Direct Deposit enrollment, call your payroll or benefits office.