Self-Insured Programs Group List

Workers' Disability Compensation Agency Self-Insured Programs Group List

Associated Builders & Contractors of Michigan Self Insured Workers' Compensation Fund Ms. Sharon L Novasel 1690 Watertower Place #500 East Lansing, MI 48823 Self-Insured Group ID: 17002233 Phone Number: (517) 664-2733 Fax Number: (517) 664-2787 Comprehensive Risk Services LLC

Construction Association of Michigan Workers' Compensation Plan Ms. Janice L Shaver 43636 Woodward Ave Ste 400 Bloomfield Twp., MI 48302 Self-Insured Group ID: 16007550 Phone Number: (586) 790-7810 Fax Number: (586) 790-7929 Mackinaw Administrators, LLC

County Road Association Self Insurance Fund Mr. Thomas Doty 101 S Washington Square, Ste 720 Lansing, MI 48933 Self-Insured Group ID: 99000099 Phone Number: (906) 430-5114 Fax Number: (517) 481-3751 Mackinaw Administrators, LLC

Human Services Association Workers' Compensation Fund Ms. Mary Penz 17000 19 Mile Rd Clinton Twp, MI 48038 Self-Insured Group ID: 83001001 Phone Number: (586) 416-8950 Fax Number: (586) 783-2753 Comprehensive Risk Services LLC

Incompass Michigan Workers' Compensation Fund Mr. Todd W Culver 335 N Seymour Ave. Lansing, MI 48933 Self-Insured Group ID: 89002833 Phone Number: (517) 484-5588 Fax Number: (517) 484-5411 Broadspire Services, Inc.

Lumber & Building Material Suppliers' Self-Insured Worker's Compensation Fund Mr. Mark Sledzinski 27750 Stansbury, Suite 100 Farmington Hills, MI 48334 Self-Insured Group ID: 63032200 Phone Number: (248) 538-0145 Fax Number: (248) 538-0471 Comprehensive Risk Services LLC

M A D S I F C/O NEXTComp Ms. Jennifer Monkiewicz 250 Monroe Ave NW Ste. 400 Grand Rapids, MI 49503 Self-Insured Group ID: 55092209 Phone Number: (866) 919-9578 Fax Number: (734) 572-9297 Comprehensive Risk Services LLC

Metalworking Industries of Michigan Workers' Compensation Fund Mr. Mark J Sledzinski 27750 Stansbury, Suite 100 Farmington Hills, MI 48334 Self-Insured Group ID: 34044000 Phone Number: (248) 538-0680 Fax Number: (248) 538-0471 Comprehensive Risk Services LLC

Michigan Assisted Living Workers' Compensation Fund Mr. Mark Sledzinski 27750 Stansbury, Suite 100 Farmington Hills, MI 48334 Self-Insured Group ID: 80080222 Phone Number: (248) 538-0474 Fax Number: (248) 538-0471 Comprehensive Risk Services LLC

Michigan Association of Ambulance Services Self-Insured Workers' Compensation Fund Mr. Larry Andrick 615 N. Capitol Avenue Lansing, MI 48933 Self-Insured Group ID: 80011033 Phone Number: (517) 346-5212 Fax Number: (517) 371-7121 CompOne Administrators, Inc.

Michigan Association of Timbermen Self-Insurers' Fund / dba MATSIF Ms. Jackie Schummer 13168 State Highway M-28 Newberry, MI 49868 Self-Insured Group ID: 63032000 Phone Number: (906) 293-3467 Fax Number: (906) 293-3342 Comprehensive Risk Services LLC

Michigan Bankers Workers' Compensation Fund Ms. Natisha Jorae 507 South Grand Lansing, MI 48933 Self-Insured Group ID: 60055443 Phone Number: (517) 485-3600 Fax Number: (517) 485-8515 CompOne Administrators, Inc.

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Workers' Disability Compensation Agency Self-Insured Programs Group List

Michigan Cleaning Fund Ms. Sharon L Novasel 1690 Watertower Place #500 East Lansing, MI 48823 Self-Insured Group ID: 72002344 Phone Number: (517) 664-2733 Fax Number: (517) 664-2787 Comprehensive Risk Services LLC

Michigan Clubs Self-Insurance Fund Ms. Sharon L Novasel 1690 Watertower Place, #500 East Lansing, MI 48823 Self-Insured Group ID: 79099099 Phone Number: (517) 664-2733 Fax Number: (517) 664-2787 Sedgwick Claims Management Services, Inc.

Michigan Counties Workers' Compensation Fund Mr. Timothy K McGuire 431 S Capitol Ave Lansing, MI 48933 Self-Insured Group ID: 99900100 Phone Number: (517) 712-4899 Fax Number: (517) 482-4599 CompOne Administrators, Inc.

Michigan Food Processors & Distribution Fund Ms. Sharon L Novasel 1690 Watertower Place, Ste 500 East Lansing, MI 48823 Self-Insured Group ID: 20008080 Phone Number: (517) 664-2733 Fax Number: (517) 664-2787 Sedgwick Claims Management Services, Inc.

Michigan Grocers Fund Ms. Sharon L Novasel 1690 Watertower Place #500 East Lansing, MI 48823 Self-Insured Group ID: 99909125 Phone Number: (517) 664-2733 Fax Number: (517) 664-2787 Sedgwick Claims Management Services, Inc.

Michigan Horticulture Industries Self-Insured Workers' Compensation Fund Ms. Sharon L Novasel 1690 Watertower Place #500 East Lansing, MI 48823 Self-Insured Group ID: 01751133 Phone Number: (517) 664-2733 Fax Number: (517) 664-2787 Sedgwick Claims Management Services, Inc.

Michigan Independent Colleges & Universities Workers' Compensation Fund Ms. Rhonda Roorda One Michigan Avenue, Suite 950 Lansing, MI 48933-1707 Self-Insured Group ID: 82008200 Phone Number: (517) 372-9160 Fax Number: (517) 372-9165 Broadspire Services, Inc.

Michigan McDonald's Operators Association Self Insurance Fund Ms. Donna Zarb 2600 S Telegraph Rd Ste 100 Bloomfield Hills, MI 48302 Self-Insured Group ID: 58099881 Phone Number: (248) 505-1975 Fax Number: (866) 245-7240 Michigan Claim Service DBA The ASU Group

Michigan Municipal League Workers' Compensation Self-Insured Fund Mr. Michael Forster 1675 Green Road Ann Arbor, MI 48105-2530 Self-Insured Group ID: 99909000 Phone Number: (734) 669-6340 Fax Number: (734) 741-1774 Meadowbrook, Inc., dba Meadowbrook Claims Service

Michigan Restaurant and Lodging Fund Ms. Sharon L Novasel 1690 Watertower Place #500 East Lansing, MI 48823 Self-Insured Group ID: 58064500 Phone Number: (517) 664-2733 Fax Number: (517) 664-2787 Mackinaw Administrators, LLC

Northwest Michigan Industrial Association Workers' Compensation Fund Mr. Dennis Muth 1368 Business Park Drive Traverse City, MI 49696 Self-Insured Group ID: 39022028 Phone Number: (231) 922-7220 Fax Number: (231) 922-7275 Comprehensive Risk Services LLC

ProSure Fund, The Ms. Judith G Caroselli 143 Cady Centre, #349 Northville, MI 48167-1119 Self-Insured Group ID: 80030033 Phone Number: (248) 344-0206 Fax Number: (248) 344-0208 Broadspire Services, Inc.

1/4/2024 7:23:43 AM

Workers' Disability Compensation Agency Self-Insured Programs Group List

School Employers Group Self-Insurers Workers' Compensation Fund Ms. Amy Guilford 1520 Earl Avenue East Lansing, MI 48823 Self-Insured Group ID: 82009000 Phone Number: (517) 816-1699 Fax Number: (517) 482-0800 Cannon Cochran Management Services, Inc. Skilled Care Workers' Compensation Fund Ms. Holli Titus Po Box 2220 Brighton, MI 48116 Self-Insured Group ID: 80000863 Phone Number: (877) 480-7442 Fax Number: (810) 588-6380 Broadspire Services, Inc.

1/4/2024 7:23:43 AM

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