Claims Reporting

To better assist you, please contact our agency during regular business hours.

(586)979-1330

Monday, Tuesday, Thursday and Friday 8:00 a.m. - 4:30 p.m.
Wednesday 8:00 a.m. - 4:00 p.m.
Saturday and Sunday Closed

If you are reporting a Worker's Compensation Claim for the first time, please report directly to the insurance carrier.

Form 100 link: http://www.michigan.gov/documents/wca_WC-100__fillin_121830_7.pdf

Accident Fund Insurance Company of America

Report A Worker's Compensation Claim

Phone: (866)-206-5851
Fax Form 100: (866)814-5595
Email Form 100: claimsexpress@accidentfund.com

Citizens Insurance Co-The Hanover Insurance Group, Inc.

http://www.hanover.com/thg/tools/report.htm

Phone: (800) 628-0250
Fax Form 100: (800) 762-7788
Online: www.hanover.com Choose Claims Service at the top of the page, then choose Worker's Compensation under Report a Claim

E-Mail: completed First Report of Injury to WCNEWLOSSES@hanover.com

Hastings Mutual Insurance Company

Can not report a claim on-line complete Form 100:

Fax Form 100: (877) 520-0562
E-Mail Form 100: newloss@hastingsmutual.com

Manufacturing Technology Mutual Insurance Co.

http://www.mtmic.com/workers-comp.html

Fax Form 100: (248) 488-1980
E-Mail Form 100: claims@mtmic.com

Michigan Millers Mutual Insurance Co.

Can not report a claim on-line complete Form 100:

Fax Form 100: (517) 371-7733
E-Mail Form 100: claims@mimillers.com