PDRMA

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Registration

Please fill out the information below if you are new to our site and would like to register. You must indicate whether you are a PDRMA Health Program participant, a Property/Casualty member or both. If we can immediately verify your information, we will give you access to the PDRMA website. If you are a Property/Casualty member and we cannot verify your information, your Safety Coordinator will need to authenticate your request. You should receive notification within two business days. If we cannot verify you as a PDRMA Health Program participant, it means either you are not part of the Health Program or you/the employee has not submitted registration forms to his Health Benefits Coordinator.

PATH Participants
If you are a Health program dependent registering to be able to access PATH from the PDRMA website, please indicate you are enrolled in the PDRMA Health Program and provide your PDRMA Health ID. Choose the agency for which the employee works, select Other for Department and choose Health Dependent under Title.

Note: Required fields are marked with an asterisk (*).

Contact Information

* Email/Username
Use your work email address (if you have one) as your website username. You can request to use a different email address for health-related communications by contacting PDRMA Health.

* First Name
If you participate in the Health Program, please enter your first and last names exactly as they appear on your Health ID card.

Middle Initial
* Last Name
Preferred Name
Home Address
City
State & Zip
Phone Number



Program Enrollment

Specify which program(s) you are enrolled in. If you are enrolled in the PDRMA Health Program, you must provide your Health Card # and Date of Birth for verification.

PATH Participants: If you are a Health program dependent, indicate you are enrolled in the PDRMA Health Program and provide your PDRMA card #.
 
I am enrolled in the PDRMA Health Program
PDRMA Health ID
(e.g. 887123456C)
Date of Birth



I am enrolled in the Property/Casualty Program



Agency Information

PATH Participants: If you are a Health program dependent, choose the agency for which the employee works, select Other for Department and choose Health Dependent under Title.
 
* Agency
* Department
* Title



Account Security

Please choose a password that meets the following specifications:

  • Minimum of six characters.
  • Minimum of one capital letter.
  • Minimum of one number.
  • Minimum of one special character.
  • * Password
    * Confirm Password




     
    MANAGING RISKS AND PROMOTING WELLNESS FOR MORE THAN 150 ILLINOIS PARK DISTRICTS, SPECIAL RECREATION ASSOCIATIONS, FOREST PRESERVE DISTRICTS AND CONSERVATION DISTRICTS SINCE 1984.
    GFOA AGRiP Award for Excellence
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