Apply to Join FMMA

Thank you for your interest in joining FMMA!

All users must be approved by the FMMA. Payment is not accepted BEFORE your application is approved. Create your profile and fill out the application below. Once approved, you will receive an email with instructions on how to submit payment and finalize activation of your account.

Select what membership type you want from the dropdown menu and then fill out the application.

About Membership

Registration Options

Buyer

Create Profile

First Name *

Last Name *

Email Address *

Username (lowercase alphanumeric) *

Password (type this twice please) *

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Additional Info

Designation

Phone Number *

Company / Association Information

Company / Association Name *

Address *

Address Line 2

City *

State *

Zip Code *

Website URL *

Buyer Onboarding

What type of health plan do you offer? *

Who is Your TPA? *

How many employees do you have? *

What is your industry? *

What do you hope the FMMA membership can provide for you? *

If you are an Association or Non-Profit, please answer the following questions.

What is the goal of your Association or Non-Profit?

Who are your members?

What benefits do you provide your members?

I agree and understand that if I am found to be in violation of the Pillars of the FMMA, I will have my membership and potentially the memberships of any other individual of my company, revoked with no refund of membership fees or endorsement expenses.

Security Verification

Complete Registration