To register an account, please complete the following form. When the form is submitted, our system will try to match your input to an existing member.

• If a match is found, we will send a temporary password to the email address you provide below to verify and complete the registration process.

• If no match is found, please confirm that you have entered the information correctly. If there is still no match, click HERE to be sure you have reached the correct landing page for your employer. You may also reach out to our customer service reps anytime at 800-258-9732 or email info@myallegiantcare.com for assistance.