Covid-19 Update: RPS Bollinger Specialty Group remains fully operational during this crisis. Our Customer Support Staff, Claims Department and New Business Team are here to answer questions. Connect with RPS Bollinger Specialty Group through your usual channels or through the "Contact Us" link options on this site. We wish you and your families good health during this difficult time, and a safe transition back to your workplaces and schools in the near future.

Get a Claim Form

If your son or daughter has been accidentally injured while participating in a school sponsored and supervised activity, or is covered by a voluntary plan available through their school for other activities, you may obtain a claim form below.

Directions: Enter your district, diocese or school name below and press the "Search" button.
If you need help finding your school, please call our School Department @ 1-877-330-8877.

District, Diocese or School Name