BeniComp Select Renewal Election

Please confirm your 2027 renewal options by filling out the short form below.

Group Name
Group Number
Preferred Contact Name Preferred Contact Name First Last
Preferred Contact Email
Preferred Contact Phone Preferred Contact Phone - ### - ### ####
2027 Renewal Census

It’s time to prepare for your upcoming BeniComp Select renewal. Please review your group’s census and confirm that all participant information is accurate.

If you need to make changes:
Log into the BeniComp Admin Portal to add, remove, or update participants.

Need help making a change?
How do I add or term a participant?
2027 Census Confirmation

2027 Census Confirmation No changes to our current census Changes are required for 2027
Product Selection

We’re excited to offer you two great options at renewal! Continue with the BeniComp Select coverage you know today, or upgrade to BeniComp Select Signature, a more proactive, personalized approach to executive health. See below to compare your options.
BeniComp Select Signature Election

BeniComp Select Signature Election I want to offer BeniComp Select Signature to all of our BeniComp Select members I only want to offer BeniComp Select Signature to some of our BeniComp Select members
Number of members who will have BeniComp Select Signature
Member 1 Name Member 1 Name First Last
Member 2 Name Member 2 Name First Last
Member 3 Name Member 3 Name First Last
Member 4 Name Member 4 Name First Last
Member 5 Name Member 5 Name First Last
Member 6 Name Member 6 Name First Last
Member 7 Name Member 7 Name First Last
Member 8 Name Member 8 Name First Last
Member 9 Name Member 9 Name First Last
Member 10 Name Member 10 Name First Last
Please upload a list of the members to enroll in BeniComp Select Signature

BeniComp Select Renewal Election

BeniComp Select Renewal Election

2027 Renewal Census

Product Selection