Starmark's ACE (Automated Customer Environment) System

ACE Sign Up Form
If you are the Benefits Administrator for a Company that has Starmark Group Insurance, please fill out the form to sign up for the ACE system. Click help for complete instructions on how to fill out the form. Thank you.

  Group Name:
  Group ID:
(i.e. SM12345A - no spaces)
  Division ID(s):
(all or 0001, 0002 etc.)

  Requestor Name:
  Requestor Phone:
  Requestor Email:

       Receive Monthly Bill by Email (E-Bill)

         Requestor different than Correspondent listed on Participating Employer Application and Agreement
Get Adobe ReaderYou will need to have Adobe Acrobat Reader installed in order to view and print this form. Click here to download Adobe Acrobat Reader for free.