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Extended Family Enrollment

Spouses and dependents of current members are already eligible for Patient Care. If you are eligible to enroll an extended family member, please complete the following information to enroll them. Please provide the following information for each extended family member. Click Here to add an extended family member.

Enrollment requests processed by the 15th day of the month will be effective the 15th of that month. Enrollment requests processed on the 16th day or later will be effective the 1st of the month.

For example: John Deer fills out our online enrollment form on January 12th. His order is processed on the 12th and his subscription effective date is January 15th. If John had enrolled on the 16th, his subscription effective date would be February 1st.

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