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Fields marked with an asterisk (*) are required.
Register / Intent to Participate (Step 1 of 3): In this step please enter in the UserID and Password that you will use to upload data and access results on this website, along with your name and the name of the company or entity.
Company Name
*
NAIC Group Code
Name
*
Email
*
Password
*
Verify password
*
Step 2 of 3: In this step please select all the states for which you wish to participate. This may include states that you currently operate in and/or states that you wish to operate in and would like state-level results. Note that the inputs below are separated by individual and small-group markets. You are required to select an input for each. If you do not wish to participate in a market, simply select the 'None' option. Please note that this intent to participate is non-binding and does not require payment of any fees at this stage (you may revise your selections later).
Individual State(s)
*
None
ALL Available
AL-Individual
AK-Individual
AZ-Individual
AR-Individual
CA-Individual
CO-Individual
CT-Individual
DE-Individual
FL-Individual
GA-Individual
HI-Individual
ID-Individual
IL-Individual
IN-Individual
IA-Individual
KS-Individual
KY-Individual
LA-Individual
ME-Individual
MD-Individual
MA-Individual
MI-Individual
MN-Individual
MS-Individual
MO-Individual
MT-Individual
NE-Individual
NV-Individual
NH-Individual
NJ-Individual
NM-Individual
NY-Individual
NC-Individual
ND-Individual
OH-Individual
OK-Individual
OR-Individual
PA-Individual
RI-Individual
SC-Individual
SD-Individual
TN-Individual
TX-Individual
UT-Individual
VT-Individual
VA-Individual
WA-Individual
WV-Individual
WI-Individual
WY-Individual
Small Group State(s)
*
None
ALL Available
AL-Small Group
AK-Small Group
AZ-Small Group
AR-Small Group
CA-Small Group
CO-Small Group
CT-Small Group
DE-Small Group
FL-Small Group
GA-Small Group
HI-Small Group
ID-Small Group
IL-Small Group
IN-Small Group
IA-Small Group
KS-Small Group
KY-Small Group
LA-Small Group
ME-Small Group
MD-Small Group
MA-Small Group
MI-Small Group
MN-Small Group
MS-Small Group
MO-Small Group
MT-Small Group
NE-Small Group
NV-Small Group
NH-Small Group
NJ-Small Group
NM-Small Group
NY-Small Group
NC-Small Group
ND-Small Group
OH-Small Group
OK-Small Group
OR-Small Group
PA-Small Group
RI-Small Group
SC-Small Group
SD-Small Group
TN-Small Group
TX-Small Group
UT-Small Group
VT-Small Group
VA-Small Group
WA-Small Group
WV-Small Group
WI-Small Group
WY-Small Group
Step 3 of 3: In this step please enter in the information for (i) Technical Contact: the person that will primarily be responsible for WRA output and uploading data, and (ii) Billing Contact: the person that will be handling invoicing and billing related to participation in this project.
Tech Contact - Name
Tech Contact - Email
Tech Contact - Phone
Billing Contact - Name
*
Billing Contact - Email
*
Billing Contact - Phone
*
IMPORTANT NOTE! After you click 'finish', you will receive an email with an activation link. If you do not receive this email, please check your junk mail or request another activation email from the login section. If you still do not receive the email, please contact Syed (SyedM@Wakely.com)
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