State Fund Programs - Group Rating


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Group Rating

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Retrospective

Rating

Group Rating Savings Analysis

Discover your company's potential savings. Simply complete the Temporary Autorization form (AC-3) online by clicking the link below, or download the form and fax or mail it to our attention. If you have any questions, please contact the V & A Group Rating Department at (419) 867-1044 or toll-free (800) 493-9662.

Online AC-3 Temporary Authorization		Fax in AC-3 Form
Instructions for Online form: Complete the AC-3 form by clicking on the data fields and typing your information. All dates must be entered with the complete year information. ( Example: 01/01/2003) Once you have completed the form in its entirety, please print the form for your records. You will receive a confirmation email that you must respond to in order to start the process.		Instructions for Fax form: You may download the PDF form, complete it and fax to V&A at (419) 867-1049

Group Rating Information – The V&A Advantage