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Available Programs:

 Carrier Risk Tolerance:

Pay As You Go Workers' Compensation

All risks acceptable:  low, medium only

Direct Bill Work Comp

All risks acceptable:  low, medium, and high.

Pay As You Go General Liability

Contractor and service risks acceptable:  low, medium only

Commercial Insurance- Standard Lines

Most Risks

Commercial Packages- 12 Equal Installs

Non-construction risks only.

PaySmart Payroll & Insurance Management

Available

Workers Compensation Information:

 Owners Wages for Workers' Compensation

Individuals and Partners

$16,700- Min Annual Payroll (effective 01.01.06).

Partners covered but may elect to be excluded.

Sole-proprietor are not covered.  Family members to be covered.

LLC Members

Statutorily included.  Corporation status, but treated as employee.

An active member with no more than 10 members owning a min of 10% of company may elect to be exempt.

Corporate Officers: Corporations

$20,852- Min Annual Payroll (effective 01.01.08).

Executives may be excluded if corp has ten or fewer shareholders and executives own 10% or more of stock.

*Notes

 General Liability Information:

 Owners Wages for General Liability:

Individuals and Partners

$29,700- flat annual (effective 07.01.84).

Corporate Officers & LLC Members

$29,700- flat annual (effective 07.01.84).

MI Work Comp Resources & Links:

 MI Workers Compensation Forms:

State of Michigan

http://www.michigan.gov/

Department of Labor & Economic Growth

http://www.michigan.gov/cis

Street Address:
611 W. Ottawa
Lansing, Michigan 48909
 

Mailing Address:
Post Office Box 30004
Lansing, Michigan 48909
(517) 373-1820, Fax: (517) 373-2129
 

Workers’ Compensation Agency

http://www.michigan.gov/wca

Street Address:
State Secondary Complex
General Office Building
7150 Harris Drive
1st Floor, B-Wing
Lansing, Michigan 48913
 

Mailing Address:
Post Office Box 30016
Lansing, Michigan 48909
(888) 396-5041, (313) 456-2400, Fax: (313) 456-2424
E-mail: wcinfo@michigan.gov
 

Click here to download free fillable PDF (Portable Document Format) versions of Michigan workers’ compensation forms courtesy Interface Technologies—http://www.interfacetec.com/

Board of Magistrates

http://www.michigan.gov/wca/0,1607,7-191-26919---,00.html

 
Post Office Box 30016
Lansing, Michigan 48909
(517) 241-9380, Fax: (517) 241-9379, TDD in Lansing: (517) 322-5987

Workers’ Compensation Appellate Commission

http://www.michigan.gov/cis/0,1607,7-154-10576_17495---,00.html

Street Address:
Ottawa Building, 2nd Floor
611 West Ottawa Street
Lansing, Michigan 48909
 

Mailing Address:
Post Office Box 30468
Lansing, Michigan 48909-7968
(517) 373-8020, Fax: (517) 241-1396
E-mail: wcacinfo@michigan.gov

Michigan Economic Development Corporation

http://medc.michigan.org/

300 North Washington Square
Lansing, Michigan 48913
(888) 522-0103, (517) 373-9808
   

Michigan Business Guide to Workers’ Compensation

http://medc.michigan.org/services/workerscomp/

Acord 130 Form

Certificate Request Form

ERM-14 Form

Order Loss Runs (Example)

NCCI Mod Authorization

* Information contained herein is based on the most accurate data as of the time of posting.  Please check with you states Division of Workers' Compensation Insurance for the most up to date information and to verify accuracy.