The Part-Time Benefits Company Business Sign-Up

Thanks for your interest in moving forward with a Part-Time Benefits plan!

Please fill out the form below to proceed

This form is for businesses, if you are an individual, please click here.

Full Name(Required)

Business Name(Required)

Number of Employees

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Email(Required)

Phone(Required)

Name

This field is for validation purposes and should be left unchanged.

Individual plans

Please visit this page to sign up as an individual.

Individual Sign-up

Disclosures

This program is NOT insurance coverage, not intended to replace insurance, and does not meet the minimum creditable coverage requirements under the Affordable Care Act or Massachusetts M.G.L. c. 111M and 956 CRM 5.00. It contains a 30-day cancellation period, provides discounts only at the offices of contracted health care providers, and each member is obligated to pay the discounted medical charges in full at the point of service. For a complete list of disclosures, send e-mail. Discount Plan Organization: New Benefits, Ltd., Attn: Compliance Department, PO Box 803475, Dallas, TX 75380-3475.

Not available to residents of VT and WA. Telemedicine operates subject to state regulation and may not be available in certain states.