RVR Insurance Group Health Insurance Company Census Form

Ralph Richardson
rvr.agent@yahoo.com
Phone (712) 954-7274 & (409) 834-2480

There are two ways you can submit the Group Health Insurance Census Form for your company.

INSTRUCTIONS TO UPLOAD A CENSUS FORM

If you are already using a census form, complete and upload it using the Choose File Button below and then press the Submit Button or email it directly as an attachment to rvr.agent@yahoo.com.

INSTRUCTIONS TO DOWNLOAD A CENSUS FORM

To download a copy of the Census Form to complete offline, click the link below:

220630RVR Insurance Census Website Download Form

Complete the form and upload it using the Choose File Button below and then press the Submit Button or email it directly as an attachment to rvr.agent@yahoo.com.