Register for someone else

If you are registering someone who is a current employee of the organization, please complete the request form below.

Important Notice: If your organization uses spam filtering software, please allow incoming messages from ColonialLife.com. If you have any questions, please contact your systems administrator.

Is the person you wish to register not currently an employee of the organization or a third-party administrator? If so, please download and fill out the following form and email it to service@coloniallife.com.

Download the General service provider form for CL, or if you are a resident of NY, download the General service provider form for Paul Revere (NY).