Great Lakes Region
Contact Us
Great Lakes Region
Servicing the states of Michigan, Ohio, Indiana, and Illinois
Program Submission Contact
Donna Cianciolo
AVP Regional Business Development
Claims Contact
Erin McBride
AVP Regional Claims Manager Great Lakes, East & South Regions
Risk Control Contact
Gary L. Smith MLIR, CRM, CSRM
AVP, Director National Loss Control
Report a Claim
Report Online
Report By Email
Report By Fax
(866) 712-1735
Email or fax your completed forms:
Michigan Employer’s First Report of Injury Form
Ohio Employer’s First Report of Injury 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 and 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.
