Please click the file below and download our PDF selection form.
Remember to keep a copy for your records.
Remember to keep a copy for your records.
MCO Selection Form

aultcomp_mco_selection_eform21.pdf |
If you have any questions, please contact AultComp MCO at 330-830-4919 or 1-888-738-5800
AultComp MCO, Inc. • P.O. Box 36149 • Canton, Ohio 44735
Email: aultcompmco@aultcompmco.com
FAX: 330-830-4902
WWW.AULTCOMPMCO.COM
Employer’s right to select: An employer may select any MCO that meets its individual business needs.
The MCO selection is solely the employer’s choice.
AultComp MCO, Inc. • P.O. Box 36149 • Canton, Ohio 44735
Email: aultcompmco@aultcompmco.com
FAX: 330-830-4902
WWW.AULTCOMPMCO.COM
Employer’s right to select: An employer may select any MCO that meets its individual business needs.
The MCO selection is solely the employer’s choice.