Enroll Now

Enroll Now

Enrolling with Opticare is as easy as selecting the plan that your employer provides, or if you are an individual, select the plan you wish to participate on. Both group and individual enrollment forms can be printed, filled out completely and returned via mail or fax to Opticare of Utah or enroll online. Once your enrollment is received and accepted, your account will be activated and you will receive an enrollment card in the mail in just a few days.

Individual Enrollment Forms

New Group Application

Enrollment Forms for New or Current Group