Fill out and submit this AC-3 form and it will automatically be sent to our Group Rating Client Services Department. We will contact you shortly to verify that your AC-3 submission has been received.
You may also download a printable AC-3 form from our Association Sponsors Page, which can be filled out by hand and sent to the attention of our Client Services Department at:
P.O. Box 182364
Columbus, OH 43218-2364
Contact us with questions at 800-395-4119.