Obtain A Quote for Group Rating or Request a Consultation  

Baylor Associates administers group rating programs. By examining data provided by the Ohio Bureau of Workers' Compensation, we can provide a free no-obligation quote, which will show the amount of savings that you may realize through group participation.

To see if you may be eligible to participate in group rating, please complete the Form AC-3 Temporary Authorization using the link shown below:

There are four options; 1) Compete the AC-3 form online; 2) Download the form, print it and fax it to Baylor; 3) Print the form and mail it to Baylor or 4) you can just call us to initiate the quote.

4 Complete the AC-3 Form Online

 1.  Click on the link above to load and view the AC-3 temporary authorization form.

 2.  Complete the AC-3 form by clicking on the data fields and typing your information.

 3.  Today's date will be auto-populated.

 4.  Once you have completed the form in its entirety, please print the form for you records.

 5.  You will receive a confirmation email that you must respond to in order to start the ||||||||process. 

4 Or Download and Print a Blank Form to Complete and Fax

 1.  Click on the link above to download and print the PDF Form

 2.  If you need to download the most recent Adobe PDF Reader Click Here

 3.  Complete the form and fax it back to Baylor Associates at (440) 546-7601.

      Need Help? Please call us at 1-800-433-1922