Employee Enrollment

Employee Enrollment Form

Commute Guard Product Enrollment

Validating employee credentials...

This message is intended solely for testing and will not appear in the production environment.
For QA/UAT purposes, please utilize the employer test name configured by the client.

Select Employer *

Last Name *

Birth Date *

First Name Required

Multiple records found with the provided last name. Please enter the first name to refine the search.

First Name *

Multiple Employees Found

Multiple records found for provided information. Please select the correct employee from the list below:

Employee Information

Name:

Mobile Phone:

Email:

Employee ID:

Address:

This section is intended for testing purposes only.
Following email/phone number is used for OTP verification and FIMC membership creation in QA/UAT.
This section will not be shown in Production environment.

Verification Required - Choose One Option

Choose your preferred verification method: Select either email or phone verification below.

Email Verification
Email will be displayed here

Phone Verification
Phone will be displayed here

Resend available in: 5:00

OTP has been sent successfully!

Failed to send OTP. Please try again.

OTP verified successfully!

Invalid OTP. Please try again.

Existing Member

A membership already exists matching the provided details (Member Confirmation # ). If there is an issue, please email us at commuteguard@fimc.com to resolve today.

Product Information

Select an employee to see product information

By checking this box, I agree to the terms of service regarding the purchase of this plan. This plan will be charged #period via a payroll deduction in perpetuity unless canceled. You can cancel your plan by calling 1-800-621-5287 Mon-Fri 8am-8pm Eastern or by logging into the member portal and speaking with an agent via online chat.

You have successfully enrolled in Commute Guard!

We are pleased to confirm your enrollment in Commute Guard as part of your benefits.

Confirmation details are below. If you have any questions, please call us at 1-800-621-5287
or email us at serviceexperiencecenter@fimc.com.

Confirmation #

You can now close out this window and return to your benefits enrollment.