NY DBL Certificate of Insurance Coverage DB-120.1 Form Access

Welcome to Renaissance Life & Health Insurance Company of New York's Group Portal that provides you with immediate access to the New York State DBL Certificate of Insurance (DB 120.1).

We appreciate the opportunity to be of service to you.

Gaining access to the form:

Step 1:

Provide your Group ID Number (this number can be found at the top of your premium statement).

Step 2:

Provide your Federal Employers Identification Number (FEIN) (you will be prevented from proceeding any further if you enter any number other than the one on file with us).

Found at the top of your premium statement.

Please contact us at 1-844-368-6485 or at group@renaissancefamily.com if you have any questions regarding the completion of this form.