Login support form

If you are unable to log in, we kindly ask you to provide us with the details below. This will enable us to deal with your queries in an appropriate way.

Please indicate the type of problem

Type of problem*

Personal details

First name*

Last name*

Date of birth*

Personal reference number*

3-digit client ID (numbers only) / 1-to-20-digit reference number (numbers only or a combination of numbers and letters).

Email address*

Telephone Number

Problem description

Please describe the steps you took:*

Which error message appears?

Do you experience the same problem(s) when using another browser?

YesNo

Operating system + version (e.g. Windows 10)*

Browser + version (e.g. Internet Explorer 10)*

Comments

JavaScript is required

For the best experience on cignahealthbenefits.com, JavaScript must be enabled.