FAMIS Select - Application
INSTRUCTIONS: You should collect everything you might need before starting your application. This includes your employer plan information and the 12-digit FAMIS Member ID number for each child you wish to include in the application. The FAMIS Member ID number can be found on the child's blue and white Commonwealth of Virginia health insurance card.

Complete this application and verify all information is correct, and click “Submit” at the bottom of the last page. Wait for a confirmation screen that your application has been successfully submitted. The confirmation screen will assign a “Confirmation Number” to your application. You should print out or write down the confirmation number for your records. This number needs to be included with your paystubs or proof of health care insurance and premiums that are sent to the FAMIS Select Unit for this application.