1-844-CPHL-CARES (274-5227)
7 days a week, 8AM-8PM
TTY 1-800-421-1220
Enrollment Year: 2019 - For External Use Only
Before we start the online enrollment process, we would like to collect your permanent residency zip code in order to provide better assistance in choosing the right plan option for you.

Please enter your permanent residency zip code below:

Permanent Zip Code:
Select an Enrollment Year

If you have any questions when filling out this form, please contact us at 1-877-940-9330 (toll free). We are available to take your call from 8:00 am to 8:00 pm 7 days a week.