Tidewater Healthcare – Options Plus Plan

MEC PLAN ENROLLMENT PORTAL

TIDEWATER HEALTHCARE

Effective Date: 01/01/2021

MEC PLAN INFORMATION

Tidewater Enrollment Portal

Plan Information
MEC Plan Selection*
Basic MEC
- Single
- Single + Spouse
- Single + Child(ren)
- Family
Ultra MEC
- Single
- Single + Spouse
- Single + Child(ren)
- Family
Ultimate MEC
- Single
- Single + Spouse
- Single + Child(ren)
- Family
Ultimate + National High MEC
- Single
- Single + Spouse
- Single + Child(ren)
- Family
Effective Date*
Your coverage will begin on the first of the month selected.

Employee Information
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Social Security Number*
Date of Birth*
Date Format: MM slash DD slash YYYY
Gender*
Email*

WATCH TO LEARN ABOUT YOUR PLAN OPTIONS

Plan Questions?

Brianna Manente

Director of Operations and Marketing

brianna@optionsplusplan.com