Email to a Colleague

Request a Username / Password to Access Business Group Resources

If your company is not a member of the National Business Group on Health, but you would like to seek approval to access online specific resources available to non-members (BEHL, WISCORE®, and EMPAQ®), please complete the form below and submit. When we receive this form, Business Group staff need to review your information to make sure you are eligible to use the tools for which you are requesting access. Once you have been approved you will be sent a username and password which will allow you to access only these Business Group resources.

Your user name and password are unique to you. Please do not share this information. If others in your company would also like to access these specific Business Group resources, you can encourage them to complete this form or contact Membership in the National Business Group on Health will allow you and your colleagues to access all Business Group resources.

These resources can be shared with other employees of your company, but should not be shared outside of your company.

If you are a member of the Business Group you can go to Password Services to request a username and password. If you are not sure if your company is a member of the National Business Group on Health, please click here.

  * = required

Personal Information

Salutation: *
First Name: *
Last Name: *
Company: *
Title: *
Job Category: *
If other, please describe:
E-mail: *
Business Telephone: *
Address 1: *
Address 2:
City: *
State: *
Zip Code: *

Company Information

Corporate HQ (City, State):
Company Web Address: * http://
Number of U.S. Employees: *
Number of Employees: *
Primary Industry: *
Request approval for which of the following services/tools? *
(Please select all that apply)
Best Employers for Healthy Lifestyles®
Note: Interested companies must meet one of the following criteria:
  • Fortune 500 company or;
  • In the top 100 of Forbes America's Largest Private Companies or;
  • Have at least 5,000 employees.
Please note: Each non-member company will have to pay a $500 fee to access BEHL. This fee will only need to be paid by the first contact at a non-member who requests access. All other contacts at that company will be given access without having to pay the fee. The fee will be payable the first time you attempt to log into the BEHL website.

In addition, please be aware that there is a $1,500 application fee for each application a non-member company chooses to submit.
Cancer Plan Design Benefits & Assessment Tool
Health Disparities Cost Impact Tool
Enter the text above: *

Page last updated: September 19, 2013