Report a Claim

Servicing the states of Michigan, Ohio, Indiana, and Illinois

Report Online

Submit First Report of Injury

Report By Email

claim@mackadmin.com

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

Servicing the states of Minnesota, North Dakota, South Dakota, Nebraska, Iowa, and Wisconsin

Report By Email

claimsmn@meadowbrook.com

Report By Fax

(651) 393-4880

Report By Phone

(800) 211-6389

Email or fax your completed forms:
Minnesota Employer’s First Report of Injury Form

Servicing the state of Alabama

Report By Email

new.claim@ameritrustgroup.com

Report By Fax

(877) 301-2008

Report By Mail

Mackinaw Administrators, LLC
P.O. Box 219152
Kansas City, MO 64121

Email, fax or mail your completed forms:
Alabama Employer’s First Report of Injury Form

Servicing the state of Massachusetts

Report By Email

claim@mackadmin.com

Mackinaw Administrators has been contracted by the Detroit Water and Sewerage Department to administer claims relating to the water main event which occurred on February 17, 2025.

Report By Email

DWSD@mackadmin.com

Report By Phone

(877) 311-3664