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Not Yet Enrolled?

If you are not enrolled in our benefits, please enter your social security number below to begin the simple enrollment process.

Already Enrolled?...Update Your File

Enter your social security number below to update your enrollment for any of the following:

  • Add a Spouse
  • Add a Dependent
  • Add a Domestic Partner
  • Submit a Change of Address
  • Remove a Dependent or Spouse
  • Submit Student Certification
This form is to be completed by the member, NOT the employer.
Employer must notify CSEA EBF of eligibility separately.

To begin, please enter your social security number below so we can check your current enrollment status:

Enter Member's SSN:

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Please check the number and re-enter it below.