How to Enroll

All active paid CFBTA members are eligible to participate in health, dental, disability, long-term care, and life insurance plans. To find out how you can enroll in one or all of these plans, please fill out the form below:

Please fill out the form below
Name:
Address:
City:
State:
Zip:
Phone:
Email:
Preferred Method of Contact:	Email Phone
Benefits Interested In:	Health Life Long Term Care Dental Disability

Please fill out the form below

Name:

Address:

City:

State:

Zip:

Phone:

Email:

Preferred Method of Contact:

Email Phone

Benefits Interested In: