*All fields are required unless noted Choose a User ID: Check guidelines and enter a user ID. User ID Guidelines Example:john_doe1234 Must be 6 - 25 characters Acceptable characters A-Z, a-z, 0-9, _ , - , . , $ Cannot contain spaces Not a 9 digit number User ID Guidelines User ID Guidelines Example:john_doe1234 Must be 6 - 25 characters Acceptable characters A-Z, a-z, 0-9, _ , - , . , $ Cannot contain spaces Not a 9 digit number Choose a Password: Check guidelines and enter a password. Password Guidelines Password Guidelines Example:MY@account2233 Must be 8 - 32 characters Acceptable characters A-Z, a-z, 0-9, @ , _ , - , $ , # Must contain at least one letter Must contain at least one number Cannot contain spaces Cannot be the same as your User ID Re-enter Password: Passwords don't match. Password Guidelines Example:MY@account2233 Must be 8 - 32 characters Acceptable characters A-Z, a-z, 0-9, @ , _ , - , $ , # Must contain at least one letter Must contain at least one number Cannot contain spaces Cannot be the same as your User ID Email Address: Something's not right. Please re-enter your email address. Please enter your email address. Example: Example@domain.com Re-enter Email Address: Email addresses don't match. I would like to receive promotional information from Florida Blue via e-mail. If you do not wish to receive information, uncheck the box. (Optional) MWS ROLE 001 072018 Back Next