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Workers' Disability Compensation Agency Self-Insured Programs Individual Self-Insured Employer List A B F Freight System, Inc. Alro Steel Corporation Ms. Lynette Woodie Mr. Jim Norman 3801 Old Greenwood Road 3100 E. High Street P.O. Box 10048 P.O. Box 927 Fort Smith, AR 72917-0048 Jackson, MI 49204-0927 Self-Insured Carrier ID: 42090248 Self-Insured Carrier ID: 33047766 Self-Administered Parker Services, LLC Alticor Inc. A J M Packaging Corporation Ms. Judy Chavis Mr. Terry Jackson 7575 Fulton Street East Suite 100 Mail Code: 56-3T E-4111 Andover Road Ada, MI 49355-0001 Bloomfield Hills, MI 48302 Self-Insured Carrier ID: 59090441 Self-Insured Carrier ID: 26022282 Self-Administered Constitution State Services LLC A. D. Transport Express, Inc. American Electric Power Company, Inc. Mr. Gary A Percy Mr. Loyd Hudson 5601 Belleville Road 1 Riverside Plaza Canton, MI 48188 15th Floor IDM Center Self-Insured Carrier ID: 42091119 Columbus, OH 43215-2355 CompOne Administrators, Inc. Self-Insured Carrier ID: 49092102 Cannon Cochran Management Services, Inc. ABM Industries Incorporated American National Red Cross Mr. Chris Ridge Mr. Mark Sherman 4151 Ashford Dunwoody Road 431 18th St. NW Suite 600 Washington, DC 20006 Atlanta, GA 30319 Self-Insured Carrier ID: 80001585 Self-Insured Carrier ID: 30057710 Sedgwick Claims Management Services, Inc. ESIS, Inc. Andersons, Inc. (The) ADAC Plastics, Inc. Ms. Jan LaPlant Mr. Lucas McCotter P.O. Box 119 5690 Eagle Dr. 1947 Briarfield Blvd. Grand Rapids, MI 49512 Maumee, OH 43537 Self-Insured Carrier ID: 30043041 Self-Insured Carrier ID: 07032385 Eagle Claims Management, LLC ESIS, Inc. AKWEL CADILLAC USA, INC Andrews University Ms. Cindy Branch Ms. Darcy de Leon 603 West Seventh Street 4150 Administration Drive Cadillac, MI 49601 Human Resources Self-Insured Carrier ID: 39047135 Berrien Springs, MI 49104-0860 CompOne Administrators, Inc. Self-Insured Carrier ID: 82000011 CompOne Administrators, Inc. Allegan County Android Industries, LLC Board of Commissioners Ms. Tricia DeClercq Ms. Vickie Herzberg 2155 Executive Hills Blvd. 3283 - 122nd Avenue Auburn Hills, MI 48326 Allegan, MI 49010 Self-Insured Carrier ID: 39024123 Self-Insured Carrier ID: 99900203 Gallagher Bassett Services, Inc. Michigan Claim Service DBA The ASU Group 8/2/2021 10:49:51 AM Workers' Disability Compensation Agency Self-Insured Programs Individual Self-Insured Employer List Ann Arbor Area Transportation Authority Bay County Ms. LaTasha Thompson Ms. Tiffany Jerry 2700 S Industrial Hwy 515 Center Avenue Ann Arbor, MI 48104 Bay City, MI 48708 Self-Insured Carrier ID: 99022100 Self-Insured Carrier ID: 99900009 Eagle Claims Management, LLC York Risk Services Group, Inc. Ann Arbor Public Schools Beaumont Health Mr. David Comsa Ms. Jennifer Harris 2555 S. State Street Beaumont Service Center - 433 5B Ann Arbor, MI 48104 26901 Beaumont Blvd Self-Insured Carrier ID: 82000181 Southfield, MI 48033 Broadspire Services, Inc. Self-Insured Carrier ID: 80000910 Sedgwick Claims Management Services, Inc. Asama Coldwater Manufacturing, Inc. Benteler Automotive Corporation Mr. David Sutherland Ms. Stacy Muehlheim 180 Asama Parkway 2650 N. Opdyke Rd; Suite B Coldwater, MI 49036 Auburn Hills, MI 48326 Self-Insured Carrier ID: 39017030 Self-Insured Carrier ID: 37058041 Eagle Claims Management, LLC CompOne Administrators, Inc. Ascension Health Alliance Besser Company USA Ms. Molly Abshear Mr. Jason Rensberry 11775 Borman-Suite 102 801 Johnson Street P.O. Box 46944 Alpena, MI 49707 St. Louis, MO 63146-4134 Self-Insured Carrier ID: 14010942 Self-Insured Carrier ID: 80000101 Comprehensive Risk Services LLC Sedgwick Claims Management Services, Inc. AWI Holdings Inc. Birmingham Public Schools Mr. Keith Scott Mr. Dean Niforos 440 Kirtland S.W. 31301 Evergreen Road Grand Rapids, MI 49507 Human Resources Self-Insured Carrier ID: 50018741 Beverly Hills, MI 48025 Eagle Claims Management, LLC Self-Insured Carrier ID: 82000563 Michigan Claim Service DBA The ASU Group AZO Services, Inc. BISSELL Inc. Ms. Amanda Otto Mr. Michael D Sukenik 5300 Miller Road 2345 Walker Avenue, N.W. Kalamazoo, MI 49048 P.O. Box 1888 Self-Insured Carrier ID: 17007112 Walker, MI 49501 Eagle Claims Management, LLC Self-Insured Carrier ID: 35028220 Michigan Claim Service DBA The ASU Group Bay City Public Schools BJ's Wholesale Club, Inc Mrs. Jennifer Grigg Ms. Kristyn Sugrue 910 N. Walnut Street 25 Research Dr Bay City, MI 48706 Westborough, MA 01581 Self-Insured Carrier ID: 82000309 Self-Insured Carrier ID: 51017214 Eagle Claims Management, LLC Sedgwick Claims Management Services, Inc. 8/2/2021 10:49:51 AM Workers' Disability Compensation Agency Self-Insured Programs Individual Self-Insured Employer List Bloomfield Hills School District Bronson Healthcare Group, Inc. Ms. Karen Healy Mr. David Mays 7273 Wing Lake Road 601 John Street Bloomfield Hills, MI 48301 Box G Self-Insured Carrier ID: 82000463 Kalamazoo, MI 49007 CompOne Administrators, Inc. Self-Insured Carrier ID: 80000839 ProSelect Insurance Company Blue Cross Blue Shield of Michigan Mutual Burr Oak Tool Inc. Insurance Company Mr. Andrew F Boyd Ms. Jamie Wire 405 W. South Street 600 E. Lafayette Sturgis, MI 49091 MC1801 Self-Insured Carrier ID: 35013675 Detroit, MI 48226 CompOne Administrators, Inc. Self-Insured Carrier ID: 80012082 CompOne Administrators, Inc. Cadillac Casting, Inc. Board of Water & Light Mr. Michael T Quibell of the City of Lansing 1500 4th Ave Mr. Richard R Peffley Cadillac, MI 49601 P.O. Box 13007 Self-Insured Carrier ID: 37004225 Lansing, MI 48901 CompOne Administrators, Inc. Self-Insured Carrier ID: 49059333 CompOne Administrators, Inc. Cadillac Products, Inc. Boldt Company (The) Mr. Roger K Williams Ms. Teri Whitman 5800 Crooks Road 2525 N. Roemer Rd. Troy, MI 48098 P.O. Box 419 Self-Insured Carrier ID: 52000798 Appleton, WI 54912-0419 Comprehensive Risk Services LLC Self-Insured Carrier ID: 15031001 Self-Administered Capital Area Transportation Authority Bouma Corporation (The) Ms. Marshea Brown Mr. Daniel DeRyke 4615 Tranter Street 4101 Roger B. Chaffee Memorial Blvd. SE Lansing, MI 48910 Grand Rapids, MI 49548 Self-Insured Carrier ID: 41046543 Self-Insured Carrier ID: 25042660 CompOne Administrators, Inc. Eagle Claims Management, LLC Carman-Ainsworth Community Schools Boyne USA, Inc. Mr. Russell Parks Mr. Edward Dembek G-3475 W. Court Street 3951 Charlevoix Ave. Flint, MI 48532 Petoskey, MI 49770 Self-Insured Carrier ID: 82000625 Self-Insured Carrier ID: 70087534 Eagle Claims Management, LLC Comprehensive Risk Services LLC Cascade Engineering, Inc. Mr. Joseph Maier Brembo North America, Inc. 3400 Innovation Ct. S.E. Mr. Daniel M Sandberg Grand Rapids, MI 49512 47765 Halyard Drive Self-Insured Carrier ID: 30044567 Plymouth, MI 48170 Eagle Claims Management, LLC Self-Insured Carrier ID: 39009915 Mackinaw Administrators, LLC 8/2/2021 10:49:51 AM Workers' Disability Compensation Agency Self-Insured Programs Individual Self-Insured Employer List Cassens Corp Chelsea Milling Company Mr. William Molter Mr. John Powers 145 North Kansas St. 201 West North Street Edwardsville, IL 62025 Chelsea, MI 48118 Self-Insured Carrier ID: 42095685 Self-Insured Carrier ID: 20044114 Broadspire Services, Inc. York Risk Services Group, Inc. Center Line Public Schools Chippewa County War Memorial Hospital, Inc Mr. Charles Roddis Ms. Susan Sliger 26400 Arsenal Avenue 500 Osborn Boulevard Center Line, MI 48015 Sault Ste. Marie, MI 49783 Self-Insured Carrier ID: 82000050 Self-Insured Carrier ID: 80000317 Michigan Claim Service DBA The ASU Group Eagle Claims Management, LLC Central Michigan University Chippewa Valley Schools Ms. Kristen Skiver Mr. Scott Sederlund 109 Rowe Hall 19120 Cass Mt. Pleasant, MI 48859 Clinton Township, MI 48038 Self-Insured Carrier ID: 82000037 Self-Insured Carrier ID: 82001250 Eagle Claims Management, LLC Michigan Claim Service DBA The ASU Group Challenge Mfg. Holdings, Inc. City of Ann Arbor Mr. Mike Rodgers Mr. David McNulty 3200 Fruit Ridge Avenue NW 301 E. Huron Walker, MI 49544 Ann Arbor, MI 48107-8647 Self-Insured Carrier ID: 34097018 Self-Insured Carrier ID: 99900181 Constitution State Services LLC CompOne Administrators, Inc. Charter Township of Canton City of Battle Creek Ms. Kerreen Conley Ms. Michelle Hull 1150 S. Canton Center Road 10 N. Division Street Canton, MI 48188 Battle Creek, MI 49014 Self-Insured Carrier ID: 99900001 Self-Insured Carrier ID: 99900113 Eagle Claims Management, LLC Eagle Claims Management, LLC Charter Township of Shelby City of Bay City Ms. Lisa Suida Mr. Edward Bromberg 52700 Van Dyke Avenue Room 305 Shelby Township, MI 48316 301 Washington Avenue Self-Insured Carrier ID: 99900475 Bay City, MI 48708 York Risk Services Group, Inc. Self-Insured Carrier ID: 99900209 Mackinaw Administrators, LLC Charter Township of Waterford City of Dearborn Ms. Margaret Birch Ms. Licia A Yangouyian Treasurer's Office 16901 Michigan Avenue 5200 Civic Center Drive Suite 14 Waterford, MI 48329-3773 Dearborn, MI 48126-2967 Self-Insured Carrier ID: 99901063 Self-Insured Carrier ID: 99900182 Comprehensive Risk Services LLC CompOne Administrators, Inc. 8/2/2021 10:49:51 AM Workers' Disability Compensation Agency Self-Insured Programs Individual Self-Insured Employer List City of Dearborn Heights City of Grand Rapids Ms. Linda Vance Mr. Craig Coulson 6045 Fenton Risk Management Office Dearborn Heights, MI 48127 300 Monroe Ave., NW Self-Insured Carrier ID: 99901682 Grand Rapids, MI 49503 Broadspire Services, Inc. Self-Insured Carrier ID: 99900141 CompOne Administrators, Inc. City of Detroit City
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