Group & Employee Information

Is your company receiving excellent service?

If you’re happy with your current plan but you have not received excellent service from your current broker, or if you don’t currently have a broker, it is very easy to become part of the Roper Insurance family.

Simply fill out this form and we will become the representative for your current policy. Nothing will change about your plan or your premium, however you will instantly receive our dependable customer service. Click here for our Agent of Record change letter.

Just print this letter on your company letterhead and fax it to 303-721-1085, email it to [email protected], or mail it to:

Roper Insurance and Financial Services, Inc.
9559 . Kingston Ct.
Englewood, CO 80112

Any employee who is applying for health insurance coverage needs to fill out the Colorado Uniform Application Form below. This form is necessary with all the carriers. Please click on the appropriate link below to access the form: It will open in a new window. Please disable any popup blockers if you have trouble accessing this link.

CO Uniform Employee Application Form (EN) 09.07.12

CO Uniform Employee Application Form (SP) 09.07.12

We are an Authorized Independent Agent for the carriers listed below. Click on the insurance carrier logo below to obtain forms and plan descriptions.

logo_humana_lg  Kaiser  



Referral Rewards Program

Do you know an individual or business that could benefit from our excellent service?

Click on this link to REFER A FRIEND