Thank you for taking the time to update your contacts with the KY AGC Self-Insurers’ Fund, which will help us deliver timely, concise communications to the appropriate individuals.

 

  • Please enter your policy number and your contacts below.
  • Please be sure to enter all relevant contacts for your organization – not just yourself.
  • Please note the contact type options – select all that apply for each contact before submitting the form.

We appreciate your business and your commitment to the safety and well-being of your employees.

Enter your current policy number (e.g. 123456-25).
First Name Last Name Email Contact Type(s) Actions
       
This field is for validation purposes and should be left unchanged.