Apply For Benefits

Welcome! Here's what you need to know before you get started:
Only use the Next or Back button at the bottom of each page to move throughout the application.
Give yourself enough time. It takes most people 30-60 minutes to fill out an application.
Click here to make sure you have all the information you will need to complete the application.

Choose from the options below to apply. You can:
Create an Account to Apply Edit or Finish an Application Apply as a Guest

Create an account and Apply:
  • Save your application and finish later
  • Track application status
  • Access your benefit letters
  • Make payments/check benefit balance
  • Print Medical Cards
 Edit or finish an application that you already started and saved through your PEAK account. Apply as a guest without creating an account and without giving an email address. If you apply as a guest, you need to complete the whole application at once. You cannot save it and return to it later.


Use the grey Next and Back buttons in the bottom right corner of each page to move through the application. Do not use the arrow and Stop buttons on your web browser.