Accident Fund Insurance Company of America

Report A Workers' Compensation Claim
Phone: (866) 206-5851
Fax Form 100: (866) 814-5595
Email Form 100: [email protected]

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 [email protected]

Hastings Mutual Insurance Company

Can not report a claim on-line complete Form 100:
Fax Form 100: (877) 520-0562
E-Mail Form 100: [email protected]

Manufacturing Technology Mutual Insurance Co.

http://www.mtmic.com/claims.html
Fax Form 100: (248) 488-1980
E-Mail Form 100: [email protected]

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: [email protected]