EmployerLink Registration

Please Note:

Users registering via this process have full access to the Employerlink application. Limited access accounts can be created using the assign permissions tab in EmployerLink.

Locate your Medical Mutual Invoice, then complete the form below to register. All fields are required (unless noted).

Step 1 of 2


Your Company Information

Company Group Number:
These values can be found on your paper bill. Click here to see a sample paper bill
with these values highlighted. If you do not have a paper bill, please contact your
Membership Rep, Sales Rep or broker for more information.
Membership Rep Code:
Billing Zip Code:

Your Personal Information

First Name:
Last Name:
Phone Number: /-
Email Address:
Retype Address: