PLANS STARTING AT ONLY $10 A MONTH!

WELCOME TO FORM BENEFITS

Our Benefits provide you with real money-saving services that protect your family, as well as save you time and money on your day-to-day expenses.

Please review the FAMILY COVERAGE Benefits we offer below, and choose the combination of services that fit your needs and budget. We have developed a simple menu plan that enables you to select one, three, or all six benefits… for as low as $10 a month!

YOUR BENEFIT CHOICES

plan

PICK YOUR PLAN

IMPORTANT: Residents of Iowa, Minnesota, Wisconsin, Maine, Vermont and Utah may ONLY purchase ELITE TELEMEDICINE 24/7 or TECH COACH EXPERTS.

OUR GUARANTEE TO YOU

NO TERM COMMITMENTS. FORM Benefit Plans are offered on a month-to-month basis, so there are no long-term commitments required to join! Your FORM Benefit Plans were developed to provide you with the protection you deserve and savings you desire for just pennies per day - a mere fraction of the cost of other comparable benefit plans. We want you to remain a member because you see the value and savings, not because of any long-term contracts!

MONEY BACK GUARANTEE. We make it easy for you to shop with confidence with our 14 Day Money Back Guarantee. If you are not satisfied within the first 14 Days from registering, you will receive a FULL REFUND. No questions asked.

OUR CANCELLATION POLICY. You may cancel at any time. Within the first 14 days, you will receive a full refund. If you cancel after 14 days, you will not be billed for another month, and you will enjoy your membership until the end of the current term. It’s that simple!

SIGNING UP IS SIMPLE

CLICK THE PLAN OF YOUR CHOICE.
ENTER YOUR ACCESS CODE, AND CLICK "JOIN."
SELECT YOUR BENEFIT(S) CHOICE.
ENTER YOUR INFORMATION AND CREATE YOUR ACCOUNT PASSWORD.
ENTER YOUR CREDIT CARD INFORMATION AS REQUESTED.

IMPORTANT

Upon submitting your information, you will receive a Welcome email from . The Welcome email will have your selected Benefit card(s) in a PDF attachment. If you do not receive your Welcome email, please be sure to check your spam folder first before reaching out to us.

Thank you, and enjoy your benefits!