Proposal Procedure

To obtain a proposal for workers' compensation coverage, please complete the estimated payroll questionnaire, using the guideline, noting the effective date you desire coverage to commence. The estimated premium statement will reveal annual as well as pro-rated premium based on the effective date needed. Completion of the branch location form is required.

Next, prepare the letter of authority and mail direct to the Advisory Board. A copy of this correspondence is to be forwarded to the MBA along with the estimated payroll questionnaire. The letter of authority allows the Fund access to your workers compensation loss history that is necessary to determine your experience modification factor.

(Note: New members that obtain a .95 experience modification factor or below will qualify for a premium off-set discount for the first year of coverage. This discount has been instituted to provide a reduction in initial costs as a new member is not eligible to receive a distribution until their second or third year of enrollment.)

For questions or clarification, please contact Kathy Richardson or Nickie Chmiel at 517-485-3600, e-mail krichardson@mibankers.com or nchmiel@mibankers.com, for assistance.

Proposal material is to be mailed or faxed to:
Kathleen Richardson
Nickie Chmiel
Michigan Bankers Association
507 South Grand Avenue
Lansing MI 48933

Fax: 517-485-8515