Secure group census

Build your census online.

Enter company and roster details in a guided format. We will prepare the census on your device for secure delivery through Paubox.

Step 1 of 3

Tell us about the business.

Fields marked with * are required.

Business name * Contact first name * Contact last name * Work email * Phone number * Business ZIP code * Desired effective date * Full-time employees Current carrier, if any

Benefits to quote Medical Dental Vision Life

Build your census online.

Tell us about the business.

Add employees and dependents.

Review before submitting.

Now upload the downloaded file securely.