Welcome to the Online Contract Application for Colonial Life & Accident Insurance Company and The Paul Revere Life Insurance Company.  When you represent Colonial Life or Paul Revere, you represent an industry leader in benefits communication, enrollment, customer service and voluntary benefits offered to employees and their families through the workplace.

New Applicants:

If you are a new applicant, please click on the “Start a new application” button.

Returning Applicants:

If you are a returning applicant, please enter your User Name and Password and click on the Login button.

Currently Contracted:

If you hold an active contract with Colonial Life or Paul Revere you should not use this system.

Please contact your sales manager or recruiter to submit the required paper documents.If you should have any questions concerning your proposed contract or the contracting process, please reconnect with your Colonial Life or Paul Revere recruiter/manager.

Your access to the online application system will remain active for up to 60 days or until you submit your application to us.  To learn more about us and review legal and disclosure information, please click on the links in the footer below.