Great Lakes Region

Contact Us

Great Lakes Region

Servicing the states of Michigan, Ohio, Indiana, and Illinois
Toll Free: (800) 372-2428
Fax: (866) 712-1735

Program Submission Contact

Donna Cianciolo
AVP Regional Business Development
Office: (810) 844-8110
[email protected]

Claims Contact

Erin McBride
AVP Regional Claims Manager
Office: (810) 844-8119
[email protected]

Report A Claim

Report Online


Submit Michigan Workers’ Compensation Report

Report By Email

[email protected]

Report By Fax

Fax: (866) 712-1735

Email or fax your completed forms:
State of Michigan Pdf Form
State of Ohio Pdf Form

Associations:

Michigan Public Risk Management Association-MIPRIMA

Detroit Risk and Insurance Management Society-Detroit RIMS

County Road Association of Michigan-CRA

Construction Association of Michigan-CAM

Michigan Self-Insurers Association-MSIA

Michigan Restaurant & Lodging Association-MRLA

Ohio Self- Insurers Association-OSIA

Northwestern Ohio Self-Insurers Association-NWOSIA

Michigan Association of Insurance Agents-MAIA

Michigan Council Self-Insured Group Administrators-MCSIGA

Community and Charitable Involvement:

Kids’ Chance of Michigan – www.kidschanceofmi.org
Organization dedicated to helping Michigan kids who need assistance for college or vocational education because a parent has been killed or catastrophically injured in a work-related accident.

RIMS Detroit Community Cleanup – www.detroitrims.org
Detroit RIMS organizes community cleanup initiatives in metro Detroit to provide a safer and cleaner community for all residents.

Community and Charitable Involvement:

Kids’ Chance of Michigan – www.kidschanceofmi.org
Organization dedicated to helping Michigan kids who need assistance for college or vocational education because a parent has been killed or catastrophically injured in a work-related accident.

RIMS Detroit Community Cleanup – www.detroitrims.org
Detroit RIMS organizes community cleanup initiatives in metro Detroit to provide a safer and cleaner community for all residents.

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