Register for your WellStarME account!

First Name- enter exactly as it appears on your Anthem ID card Last Name- enter exactly as it appears on your Anthem ID card Email Address Confirm Email Address Create Password Confirm Password

Your Date of Birth (mm/dd/yyyy) Address City State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Phone Number (123-456-7890)

Anthem ID - This will be the 13 digit identification number on your Anthem ID card.

see example

Anthem Group ID - This will be a ten digit number on your Anthem card.

see example

YOUR Current Status on Insurance Primary Insurance Subscriber Spouse/Domestic Partner of Insurance Subscriber

Employee ID Number- Only Required for Primary Subscriber

Your Employee ID number is printed on your pay stub. It is 'A' followed by six digits. If you are unable to locate your Employee ID number, please contact your HR Payroll Specialist for further assistance.

I hereby state that I am currently covered by the State of Maine Health Plan