Workers’ Compensation Claim Kit – Michigan

Who will handle your claims?
The Milwaukee Regional Claim Office will handle your Michigan claims.

Phone: 800-242-4566
Jeanine Ramstack, AVP

Please direct all general correspondence to:

Email:    claimsmail@cfins.com
Fax:        877-622-6911
Mail:      PO Box 14139, Lexington, KY  40512

How to Report Workers’ Compensation Claims?
To report via the Internet: Log on to the Crum & Forster website at https://cfconnect.cfins.com. Use your assigned User ID and Password. If you do not have a current User ID, please contact your local Crum & Forster Claims or Marketing resource.

To report e-mail: crumandforsternol@cfins.com
To report via fax: 1-877-622-6218
To report claims via telephone: 1-800-690-5520

(7 day/24 hour toll free reporting line for all states)

  • In the event of a serious or fatal injury, notify the local claim office immediately by telephone.

What forms and pamphlets does the employer need to be aware of?

BWC 100 / Employer’s First Report of Injury:
If you report the claim via the Internet or by telephone, you do not need to fill out this form. If you report the claim via fax, complete this form, and fax it to Crum & Forster at the fax number provided above.

Michigan-FROI-rev 2.13

What is the Waiting Period For Lost Wages in Michigan?
The waiting period is 7 days and this must be consecutive days. There is a 14 day retroactive period.

What are the Choice of Physician Rules in Michigan?
The employer directs care for the first 28 days from the date of injury. After that time the employee is able to choose their own doctor.

Preferred Provider Organization Network (PPO):
Crum & Forster has a PPO network available. Follow the instructions below to access the PPO Network:

Logon to the website at: https://www-sf.talispoint.com/conduent/cfi/

  • Search by Provider Address, Name or Region
  • Select the Distance, Provider Type and Specialty
  • Results can then be exported to a directory or excel.
  • You can obtain a Map List or text message by selecting a specific provider

Where should all medical bills be sent?

Crum & Forster
PO Box 14801
Lexington, KY 40512

Important Websites:

Michigan Workers’ Compensation Website- http://www.michigan.gov/wca/

Michigan WC Formshttps://www.michigan.gov/leo/0,5863,7-336-94422_95508_26917—,00.html

Multi-State Information- http://www.workerscompensation.com/