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If you cannot remember your Username or Password to the Wellness Program, please use the Reset Password tab

Enrollment Year:

Employee Status:

Employee Number:

Name:

Department:

City/Building:

Floor/Room:

If the address below is incorrect, please see your department clerk/supervisor so that the address change paperwork can be completed and sent to HR.
The address on file is the only address that a physical gift card can be sent

Address:

City

State

Zip Code

Phone/Extension:

Email:

**This will be your wellness enrollment username and password. The password must be at least 6 characters and less than 20 characters.**

Username:

Password:

Family Members

Spouses and/or dependents between the ages of 18-26 covered under or eligible to be covered under the county's self-insured health plan

	Type	Name	Phone	Email