Accident Fund Insurance Company of America
Claim Procedure:
Report A Workers' Compensation Claim
Phone: (866) 206-5851
Fax Form 100: (866) 814-5595
Email Form 100: claimsexpress@accidentfund.com
To better assist you, please contact our agency during regular business hours at (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 Workers' Compensation Claim for the first time, please report directly to the insurance carrier. (see below)
Accident Fund Insurance Company of America
Report A Workers' 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 Workers' 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/claims.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