New employee or first time visitor? Create your profile to discover some of the benefits made available to you and your family.

Already registered? Login

If you have questions or need help, please contact United Benefits at (866)558-2121 between 8am-6pm M-F CST.

Personal Info * Fields in italics are optional

First Name

Middle Initial

Last Name

Date of Birth

Gender

Male
Female
Other

Contact Info Please enter your contact information below.

Address

Country

Street Address Line 1

Street Address Line 2

City

State

ZIP

Home Phone

Mobile Phone

Employment

*Salary is collected to quote disability insurance.

Date of Hire

Location

Annual Salary

Affiliation

Agency

Work City

Work State

Assign PIN Create your PIN password, your secret code for accessing the system and for signing enrollment forms.

New PIN

Re-type PIN

Password Hint Question

Password Hint Answer

Verification Code

Re-type Verification Code: