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Products & Services / Group Health / Group Health Quote
 Group Health Insurance
In order to provide you with rates for groups of 1-50, please click here to access our on-line census form.
Once the form is complete, simply click the 'Send Form via Email' button at the top of the form to send the form from your own email program. Alternatively, you can save the file on your own computer and email it as an attachment to brokernet.quotes@amwins.com, or use the 'Print Form' button to print a hard copy and fax or mail to:
BrokerNetUSA
100 Metro Center Blvd.
Warwick, RI 02886
T: 401.732.3636
T: 800.622.5248
F: 401.732.3601
When your completed form is submitted by email or fax, you will be contacted by our Broker Service Department within 2 hours.
If you should have any further questions, please contact our Broker Service Department at 401.732.3636.
NOTE: For groups of 50+, please contact Blue Cross/Blue Shield of Rhode Island at 800.637.3718 ext. 5702 for more information on enrolling your group.
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