If you received a login and password in your notice packet, please click here to submit an Enumerated Claim Form online.
If you did not receive a login and password, complete the form here to submit a Confirmation Form online. After your confirmation form has been submitted you will receive an email confirming receipt of your form. Once you have received that confirmatory email, you must call RG/2 Claims at 1-866-742-4955 to receive additional instructions on next steps to receive a login and password that will allow you to execute an Enumerated Claim Form. If you are unable to reach a live operator, please leave a voicemail and we will return your message as soon as possible.