Michigan Individual Self-insured Employer List by ofq22347

VIEWS: 761 PAGES: 30

									  Program: names2.frx                                                                                             Page: 1
                                   Bureau of Workers' & Unemployment Compensation
  Print Date: 12/01/2003
  Print Time: 09:09:35
                                                 Self-Insured Programs
                                        Individual Self-Insured Employer List
A B C Beverage Management, Inc.                            A Z Automotive Corp.
Mr. Robert B. Lydon                                        Mr. Daniel Pierce
400 N. Wolf Road                                           23745 Mound Rd.
Northlake, IL 60164                                        Warren, MI 48091
Self-Insured ID: 20002344                                  Self-Insured ID: 34002210
Frank Gates Service Company                                CompOne Administrators, Inc.
A B F Freight System, Inc.                                 ADAC Plastics, Inc.
Mr. Stan McDaniel                                          Mr. Jim Green
3801 Old Greenwood Road                                    5920 Tahoe Dr.
P.O. Box 10048                                             P.O. Box 888375
Fort Smith, AR 72917-0048                                  Grand Rapids, MI 49588-8375
Self-Insured ID: 42090248                                  Self-Insured ID: 30043041
Self-Administered                                          Citizens Management Inc.
A B M Lakeside, Inc.                                       Abraham, S., & Sons Inc.
Ms. Marian Nussbaumer                                      Mr. Keith Anderson
180 North La Salle                                         P.O. Box 1768
Chicago, IL 60601                                          4001 Three Mile Road NW
Self-Insured ID: 30057710                                  Grand Rapids, MI 49501-1768
Cambridge Integrated Services Group, Inc.                  Self-Insured ID: 59063737
A C O, Inc.                                                Eagle Claims Management, LLC
Mr. David Gronbach                                         Advance Packaging Corporation
23333 Commerce Drive                                       Ms. Janice F. Henry
Farmington Hills, MI 48335-2764                            4450 - 36th Street, S.E.
Self-Insured ID: 53093406                                  Grand Rapids, MI 49512-1996
Citizens Management Inc.                                   Self-Insured ID: 26041562
A D Transport Express, Inc.                                Citizens Management Inc.
Mr. William S. Ruschak                                     Alken Ziegler, Inc.
5601 Belleville Road                                       Mr. Jeff Larson
Canton, MI 48188                                           406 S. Park
Self-Insured ID: 42091119                                  Kalkaska, MI 49646
Meadowbrook, Inc., dba Meadowbrook Claims Service          Self-Insured ID: 34007472
A J M Packaging Corporation                                Eagle Claims Management, LLC
Mr. Robert A. Epstein                                      Allegan County
Suite 100                                                  Board of Commissioners
E-4111 Andover Road                                        Mr. David B. Van de Roovaart
Bloomfield Hills, MI 48302                                 113 Chestnut Street
Self-Insured ID: 26022282                                  Allegan, MI 49010
Citizens Management Inc.                                   Self-Insured ID: 99900203
A S C, Inc.                                                Citizens Management Inc.
Ms. Rhonda Cougan                                          Allied Mechanical Services, Inc.
14925 W. 11 Mile Road                                      Mr. Daniel Huizinga
Oak Park, MI 48237                                         2211 Miller Road
Self-Insured ID: 55097993                                  Kalamazoo, MI 49001
Citizens Management Inc.                                   Self-Insured ID: 17091550
A T & T Corporation                                        Citizens Management Inc.
Ms. Deborah Beatty                                         Alpena General Hospital
c/o Aon Consulting, Inc.                                   Mr. Damone D. Sorensen
270 Davidson Avenue, Room 8B03                             1501 W. Chisholm St.
Somerset, NJ 08873                                         Alpena, MI 49707
Self-Insured ID: 48091397                                  Self-Insured ID: 80000804
Broadspire Services, Inc.                                  Michigan Health & Hospital Association Service Corp.
  Program: names2.frx                                                                                    Page: 2
                                    Bureau of Workers' & Unemployment Compensation
  Print Date: 12/01/2003
  Print Time: 09:09:35
                                                  Self-Insured Programs
                                         Individual Self-Insured Employer List
Alro Steel Corporation                                      Ann Arbor Public Schools
Mr. Norris E. Hornbeck                                      Mr. Garry Doolittle
3100 E. High Street                                         2555 S. State Street
P.O. Box 927                                                Ann Arbor, MI 48104
Jackson, MI 49204-0927                                      Self-Insured ID: 82000181
Self-Insured ID: 33047766                                   RSKCo Services, Inc.
Constitution State Services LLC                             Applegate Heating & Air Conditioning, Inc.
Alticor Inc.                                                Mr. Garry Applegate
Mr. Paul Rutowski                                           485 East South Street
7575 Fulton Street East                                     Jackson, MI 49203
Mail Code: 56-3S                                            Self-Insured ID: 17053158
Ada, MI 49355-0001                                          Citizens Management Inc.
Self-Insured ID: 59090441                                   Arrow Uniform Rental Limited Partnership
Self-Administered                                           Mr. Kevin Dunivin
American National Red Cross                                 6400 Monroe Boulevard
Ms. Jean Matthews                                           Taylor, MI 48180
5th. Floor                                                  Self-Insured ID: 72011980
8111 Gatehouse Road                                         RSKCo Services, Inc.
Falls Church, VA 22042                                      ArvinMeritor, Inc.
Self-Insured ID: 80001585                                   Ms. Janice DeHart
Gates, McDonald & Co.                                       444 Hebron Road
American Plastic Toys, Inc.                                 Heath, OH 43056
Mr. Dale M. Polewach                                        Self-Insured ID: 37090462
799 Ladd Road                                               RSKCo Services, Inc.
Walled Lake, MI 48390                                       Ascension Health
Self-Insured ID: 29018264                                   Ms. Suzann Bylund
Comprehensive Risk Services, Inc.                           11775 Borman - Suite 300
Amsted Industries, Incorporated                             St. Louis, MO 63146-4134
Ms. Rita Dieden                                             Self-Insured ID: 80000101
44th. Floor                                                 Sedgwick Claims Management Services, Inc.
205 N. Michigan Avenue                                      Auto Pallets - Boxes, Inc. et al.
Chicago, IL 60601                                           Mr. Greg Van Dorn
Self-Insured ID: 33000814                                   28000 Southfield Road
Self-Administered                                           Lathrup Village, MI 48076
Andersons, Inc., The                                        Self-Insured ID: 26035325
Ms. Mary L. Stacy                                           Accident Fund Insurance Company of America
480 W. Dussel Drive                                         Auto-Wares, Inc.
P.O. Box 119                                                Mr. Gregory D. Hinkle
Maumee, OH 43537                                            440 Kirtland S.W.
Self-Insured ID: 07032385                                   Grand Rapids, MI 49507
Self-Administered                                           Self-Insured ID: 50018741
Andrews University                                          Citizens Management Inc.
Mr. Dan Agnetta                                             Awrey Bakeries, Inc.
Administration Building                                     Mr. Glenn A. Korzyn
Human Resources                                             12301 Farmington Road
Berrien Springs, MI 49104-0840                              Livonia, MI 48150
Self-Insured ID: 82000011                                   Self-Insured ID: 20067875
Cambridge Integrated Services Group, Inc.                   Comprehensive Risk Services, Inc.
Ann Arbor , City of                                         Balkema Excavating, Inc.
Mr. James Armstrong                                         Mr. Clarence Batts
100 N. Fifth Avenue                                         5300 Miller Road
P.O. Box 8647                                               Kalamazoo, MI 49048
Ann Arbor, MI 48107-8647                                    Self-Insured ID: 17007112
Self-Insured ID: 99900181                                   Eagle Claims Management, LLC
Crawford & Company
  Program: names2.frx                                                                                    Page: 3
                                    Bureau of Workers' & Unemployment Compensation
  Print Date: 12/01/2003
  Print Time: 09:09:35
                                                  Self-Insured Programs
                                         Individual Self-Insured Employer List
Barry, County of                                            Benteler Automotive Corporation
Mr. Michael Brown                                           Mr. Mark Schmink
220 W. State Street                                         1780 Pond Run
Hastings, MI 49058                                          Auburn Hills, MI 48306
Self-Insured ID: 99900008                                   Self-Insured ID: 37058041
Cambridge Integrated Services Group, Inc.                   Chubb Services Corporation
Battle Creek , City of                                      Berrien, County of
Mr. Kenneth L. Bell                                         Mr. John M. Henry
10 N. Division Street                                       Berrien County Administration
Battle Creek, MI 49014                                      701 Main Street
Self-Insured ID: 99900113                                   St. Joseph, MI 49085
Cambridge Integrated Services Group, Inc.                   Self-Insured ID: 99900011
Battle Creek,School Dist. of the City of                    RSKCo Services, Inc.
Mr. David A. Disler                                         Besser Company
3 W. Van Buren Street                                       Ms. Juli Musch
Battle Creek, MI 49017                                      801 Johnson Street
Self-Insured ID: 82000513                                   Alpena, MI 49707
Gallagher Bassett Services, Inc.                            Self-Insured ID: 14010942
Bay City , City of                                          Comprehensive Risk Services, Inc.
Mr. Dale R. Berglund                                        Birds Eye Foods, Inc.
Room 305                                                    Ms. Karen L. Gruendike
301 Washington Avenue                                       90 Linden Oaks
Bay City, MI 48708                                          Rochester, NY 14625
Self-Insured ID: 99900209                                   Self-Insured ID: 20091500
RSKCo Services, Inc.                                        RSKCo Services, Inc.
Bay City Public Schools                                     Birmingham, School Dist. of the City of
Mr. Douglas L. Newcombe, CPA                                Dr. E. Rhusha Scales
910 N. Walnut Street                                        550 W. Merrill Street
Bay City, MI 48706                                          Birmingham, MI 48009
Self-Insured ID: 82000309                                   Self-Insured ID: 82000563
Cambridge Integrated Services Group, Inc.                   RSKCo Services, Inc.
Bay County                                                  Bissell, Inc.
Mr. Michael J. Regulski                                     Mr. William J. Brennan
515 Center Avenue                                           2345 Walker Avenue, N.W.
Bay City, MI 48708                                          Walker, MI 49544
Self-Insured ID: 99900009                                   Self-Insured ID: 35028220
Cambridge Integrated Services Group, Inc.                   Citizens Management Inc.
Bay County Road Commission                                  Black & Decker Corporation, The
Mr. Clarke Foco                                             Mr. M. Clayton Roop
2600 E. Beaver Road                                         TW 230
Kawkawlin, MI 48631                                         701 E. Joppa Road
Self-Insured ID: 99900109                                   Towson, MD 21286
Cambridge Integrated Services Group, Inc.                   Self-Insured ID: 34007885
Bay Metro. Transportation Authority                         Specialty Risk Services, Inc.
Mr. Michael R. Stoner                                       Blissfield Manufacturing Company
1510 N. Johnson Street                                      Mr. Gregory A. Hendel
Bay City, MI 48708                                          626 Depot Street
Self-Insured ID: 99022009                                   Blissfield, MI 49228
Cambridge Integrated Services Group, Inc.                   Self-Insured ID: 39036455
Beaumont, William, Hospital                                 Gates, McDonald & Co.
Mr. Joseph B. Boivin                                        Bloomfield Hills School District
William Beaumont Hospital / FSC                             Ms. Shelly Holliday
3601 W. 13 Mile Road                                        4175 Andover Road
Royal Oak, MI 48073                                         Bloomfield Hills, MI 48302
Self-Insured ID: 80000882                                   Self-Insured ID: 82000463
Michigan Health & Hospital Association Service Corp.        Accident Fund Insurance Company of America
  Program: names2.frx                                                                                    Page: 4
                                    Bureau of Workers' & Unemployment Compensation
  Print Date: 12/01/2003
  Print Time: 09:09:35
                                                  Self-Insured Programs
                                         Individual Self-Insured Employer List
Blue Cross Blue Shield of Michigan                          Burr Oak Tool And Gauge Company, Inc.
Ms. Lynn Howe                                               Mr. David L. Franks
600 Lafayette East                                          405 W. South Street
Mail Code 0128                                              Sturgis, MI 49091
Detroit, MI 48226                                           Self-Insured ID: 35013675
Self-Insured ID: 80012082                                   Citizens Management Inc.
Accident Fund Insurance Company of America                  Cadillac Products, Inc.
Bon Secours Cottage Health Services, Inc.                   Mr. Roger K. Williams
Mr. Nicholas Vitale                                         5800 Crooks Road
468 Cadieux Road                                            Troy, MI 48098
Grosse Pointe, MI 48230                                     Self-Insured ID: 52000798
Self-Insured ID: 80000231                                   Citizens Management Inc.
J.P. Bender & Associates, Inc.                              Calhoun, County of
Bopp-Busch Manufacturing Company                            Ms. Shelly A. Lehmann
Mr. Robert A. Busch                                         315 W. Green Street
545 E. Huron                                                Marshall, MI 49068
P.O. Box 589                                                Self-Insured ID: 99900013
Au Gres, MI 48703                                           Cambridge Integrated Services Group, Inc.
Self-Insured ID: 34023820                                   Canton, Charter Township of
RSKCo Services, Inc.                                        Mr. Daniel G. Durack
Bouma Corporation, The                                      1150 S. Canton Center Road
Mr. Daniel DeRyke                                           Canton, MI 48188
4101 Roger B. Chaffee Memorial Blvd. SE                     Self-Insured ID: 99900001
Grand Rapids, MI 49548                                      RSKCo Services, Inc.
Self-Insured ID: 25042660                                   Capital Area Transportation Authority
Citizens Management Inc.                                    Ms. Patricia Holloway
Boyne USA, Inc.                                             4615 Tranter Avenue
Mr. Edward Dembek                                           Lansing, MI 48910
Boyne Mountain Road                                         Self-Insured ID: 41046543
P.O. Box 19                                                 RSKCo Services, Inc.
Boyne Falls, MI 49713                                       Carboloy Inc.
Self-Insured ID: 70087534                                   Mr. Michael L. Neel
Accident Fund Insurance Company of America                  11177 East Eight Mile Road
Brazeway, Inc.                                              Warren, MI 48089
Mr. Terry Sheehan                                           Self-Insured ID: 35024850
2711 E. Maumee Street                                       Alternative Service Concepts LLC
P.O. Box 749                                                Cargill, Incorporated
Adrian, MI 49221                                            Mr. Brian Turnwall
Self-Insured ID: 35090022                                   P. O. Box 5612/ MS#12
Cambridge Integrated Services Group, Inc.                   Minneapolis, MN 55440-5612
Bronson Healthcare Group, Inc.                              Self-Insured ID: 20024225
Ms. Susan Ulshafer                                          Crawford & Company
One Healthcare Plaza                                        Carman-Ainsworth Community Schools
Kalamazoo, MI 49007                                         Mr. Tony Skowronski
Self-Insured ID: 80000839                                   G-3475 W. Court Street
Michigan Health & Hospital Association Service Corp.        Flint, MI 48532
Brown Corporation of Ionia, Inc.                            Self-Insured ID: 82000625
Mr. Timothy J. Oeschger                                     Accident Fund Insurance Company of America
401 S. Steele Street                                        Cascade Engineering, Inc.
Ionia, MI 48846                                             Mr. Stephen M. Peterson
Self-Insured ID: 34023934                                   5251 - 36th Street, S.E.
Eagle Claims Management, LLC                                Grand Rapids, MI 49508
                                                            Self-Insured ID: 30044567
                                                            Eagle Claims Management, LLC
  Program: names2.frx                                                                                                 Page: 5
                                       Bureau of Workers' & Unemployment Compensation
  Print Date: 12/01/2003
  Print Time: 09:09:36
                                                     Self-Insured Programs
                                            Individual Self-Insured Employer List
Cassens Corporation                                            Chelsea Milling Company
Mr. William Molter                                             Mr. John Powers
145 North Kansas St.                                           201 West North Street
P.O. Box 468                                                   Chelsea, MI 48118
Edwardsville, IL 62025                                         Self-Insured ID: 20044114
Self-Insured ID: 42095685                                      Citizens Management Inc.
Crawford & Company                                             Cherry Growers, Inc.
Cello-Foil Products, Inc.                                      Mr. Thomas Denton
Mr. Terry A. McFall                                            6331 US 31 South
155 Brook Street                                               P.O. Box 90
Battle Creek, MI 49017                                         Grawn, MI 49637
Self-Insured ID: 27010033                                      Self-Insured ID: 01066775
Comprehensive Risk Services, Inc.                              Citizens Management Inc.
Center Line Public Schools                                     Chippewa County War Memorial Hospital, Inc
Ms. Mary Ann Blakely                                           Ms. Betty Daniels
26400 Arsenal Avenue                                           500 Osborn Boulevard
Center Line, MI 48015                                          Sault Ste. Marie, MI 49783
Self-Insured ID: 82000050                                      Self-Insured ID: 80000317
Accident Fund Insurance Company of America                     Michigan Health & Hospital Association Service Corp.
Central Distributors of Beer, Inc.                             Chippewa Valley Schools
Mr. Kurt Gail                                                  Mr. James Gillette
28100 Gorsuch Avenue                                           19120 Cass
Romulus, MI 48174                                              Clinton Township, MI 48038
Self-Insured ID: 51017382                                      Self-Insured ID: 82001250
Citizens Management Inc.                                       Citizens Management Inc.
Central Michigan University                                    Clark Foundation Company
Ms. Tammy Griffin                                              Mr. John Haglund
Chip Facility South Grounds Building                           6851 Millett Highway
Mt. Pleasant, MI 48859                                         Lansing, MI 48917
Self-Insured ID: 82000037                                      Self-Insured ID: 17034233
Eagle Claims Management, LLC                                   Mackinaw Administrators, LLC
CertainTeed Corporation                                        Clark Retirement Community
Mr. Barry M. Kemper                                            Ms. Trisha A. Watkins
750 E. Swedesford Road                                         1551 Franklin Street SE
Valley Forge, PA 19482                                         Grand Rapids, MI 49506-3331
Self-Insured ID: 32066085                                      Self-Insured ID: 80000341
ESIS, Inc.                                                     Eagle Claims Management, LLC
Champion Bus, Inc.                                             Clarkston Community Schools
Mr. Walter Bennett                                             Mrs. Linda Nestor
419 West Pike Street                                           6389 Clarkston Road
Jackson Center, OH 45334                                       P.O. Box 1050
Self-Insured ID: 37009750                                      Clarkston, MI 48347-1050
Cambridge Integrated Services Group, Inc.                      Self-Insured ID: 82001163
Charlevoix, County of                                          Mackinaw Administrators, LLC
Ms. Jane E. Brannon                                            Clawson Tank Company
203 Antrim Street                                              Ms. Tracy Lintz
Charlevoix, MI 49720                                           4545 Clawson Tank Drive
Self-Insured ID: 99900015                                      Clarkston, MI 48346
Citizens Management Inc.                                       Self-Insured ID: 34012163
Chelsea Community Hospital                                     Accident Fund Insurance Company of America
Mr. Bruce Carty                                                Cleveland-Cliffs Iron Company
775 S. Main Street                                             Mr. Richard L. Bihn
Chelsea, MI 48118-1399                                         1100 Superior Avenue
Self-Insured ID: 80000881                                      Cleveland, OH 44114-2589
Michigan Health & Hospital Association Service Corp.           Self-Insured ID: 10059318
                                                               Sedgwick Claims Management Services, Inc.
  Program: names2.frx                                                                                             Page: 6
                                   Bureau of Workers' & Unemployment Compensation
  Print Date: 12/01/2003
  Print Time: 09:09:36
                                                 Self-Insured Programs
                                        Individual Self-Insured Employer List
Clinton, Township of                                       Cooper Industries, Inc.
Mr. Frederick Wutzke                                       Mr. Walter E. Pliszka
40700 Romeo Plank Road                                     P.O. Box 4446
Clinton Township, MI 48038                                 Houston, TX 77210
Self-Insured ID: 99900250                                  Self-Insured ID: 37020785
Citizens Management Inc.                                   Self-Administered
Clintondale Community Schools                              Costco Wholesale Corporation
Mr. Mitchell L. Ritter                                     Ms. Ann Loonam
35100 Little Mack                                          999 Lake Drive
Clinton Township, MI 48035                                 Issaquah, WA 98027
Self-Insured ID: 82000550                                  Self-Insured ID: 53091300
Mackinaw Administrators, LLC                               Sedgwick Claims Management Services, Inc.
Coca-Cola Enterprises, Inc.                                Covenant Medical Center, Inc.
Ms. Sylvia M. Johnson                                      Ms. Rebecca Schultz
2500 Windy Ridge Parkway                                   1447 N. Harrison
P.O. Box 723040                                            Saginaw, MI 48602
Atlanta, GA 31139-0040                                     Self-Insured ID: 80000573
Self-Insured ID: 20091685                                  Michigan Health & Hospital Association Service Corp.
Constitution State Services LLC                            Cranbrook Educational Community, Inc.
Cold Heading Company                                       Ms. Beth Beadle
Mr. Edward Miller                                          39221 N. Woodward Avenue
21777 Hoover Road                                          P.O. Box 801
Warren, MI 48089                                           Bloomfield Hills, MI 48303-0801
Self-Insured ID: 33033782                                  Self-Insured ID: 82003063
RTW, Inc. Michigan                                         Accident Fund Insurance Company of America
Commercial Steel Treating Corporation                      Creative Foam Corporation
Mr. Greg B. Schankin                                       Mr. Bruce G. Graham
31440 Stephenson Highway                                   300 N. Alloy Drive
Madison Heights, MI 48071                                  Fenton, MI 48430
Self-Insured ID: 33016001                                  Self-Insured ID: 30049025
Citizens Management Inc.                                   Pro-Insurance Services, LLC
ConAgra Foods, Inc.                                        Crittenton Hospital
Ms. Linda J. Smith                                         Crittenton Hospital Medical Center
Suite 400                                                  Ms. Kathleen Gatz
8300 Norman Center Drive                                   1101 W. University Dr.
Minneapolis, MN 55437-3844                                 Rochester, MI 48307
Self-Insured ID: 20033685                                  Self-Insured ID: 80000263
Sedgwick Claims Management Services, Inc.                  Cambridge Integrated Services Group, Inc.
Consumers Energy Company                                   D & W Food Centers, Inc.
Mr. James E. Brunner                                       Mr. Floyd Wilson
One Energy Plaza                                           3001 Orchard Vista Dr., S.E.
Jackson, MI 49201                                          Grand Rapids, MI 49546
Self-Insured ID: 48092036                                  Self-Insured ID: 54044000
Self-Administered                                          Eagle Claims Management, LLC
Continental Plastics Company                               D T E Energy Company
Ms. M. Victoria Thomas                                     Mr. Stephen H. Meier
33525 Groesbeck                                            2000 Second Avenue, 1950 WCB
Fraser, MI 48026                                           Detroit, MI 48226
Self-Insured ID: 30036163                                  Self-Insured ID: 49090153
Cambridge Integrated Services Group, Inc.                  Self-Administered
Contractors Steel Company                                  DaimlerChrysler Corporation
Mr. Donald R. Simon                                        Mr. August L. Biache
36555 Amrhein Road                                         (CIMS:485-07-26)
P.O. Box 3364                                              1000 Chrysler Drive
Livonia, MI 48151-3364                                     Auburn Hills, MI 48326-2766
Self-Insured ID: 50070854                                  Self-Insured ID: 37666000
Accident Fund Insurance Company of America                 ESIS, Inc.
  Program: names2.frx                                                                                             Page: 7
                                   Bureau of Workers' & Unemployment Compensation
  Print Date: 12/01/2003
  Print Time: 09:09:36
                                                 Self-Insured Programs
                                        Individual Self-Insured Employer List
Dana Corporation                                           Delphi Corporation
Ms. Becky Grogg                                            Ms. Sharon L. Smith
P.O. Box 537                                               5825 Delphi Dr.
Toledo, OH 43697                                           m/c 480 410 104
Self-Insured ID: 37090323                                  Troy, MI 48098
Specialty Risk Services, Inc.                              Self-Insured ID: 37090063
Dart Container Corporation of Michigan                     Self-Administered
Mr. Dan Ide                                                Detroit , Board of Education of the City of
500 Hogsback Road                                          Ms. Christina Polk-Osumah
Mason, MI 48854                                            Room #1222
Self-Insured ID: 30099099                                  5057 Woodward Avenue
Self-Administered                                          Detroit, MI 48202
Dart Energy Corporation                                    Self-Insured ID: 82000482
Ms. Deborah A. Fennell                                     Citizens Management Inc.
600 Dart Road                                              Detroit , City of
P.O. Box 177                                               Ms. Angela Moss
Mason, MI 48854                                            Finance - Risk Management
Self-Insured ID: 29035233                                  611 Coleman A. Young Municipal Center
Eagle Claims Management, LLC                               Detroit, MI 48226
Dean Foods Company                                         Self-Insured ID: 99900482
Ms. Jo Harris                                              Self-Administered
2515 McKinney Avenue Suite 1200                            Detroit Coil Company
Dallas, TX 75201                                           Mr. David C. Jencks
Self-Insured ID: 54090285                                  2435 Hilton Road
Gallagher Bassett Services, Inc.                           Ferndale, MI 48220
Dearborn , City of                                         Self-Insured ID: 35092211
Ms. Meghan Jones                                           Meadowbrook, Inc., dba Meadowbrook Claims Service
13615 Michigan Avenue                                      Detroit Diesel Corporation
Dearborn, MI 48126-3586                                    Ms. Cheryl Meyer
Self-Insured ID: 99900182                                  13400 West Outer Drive (B16A)
Accident Fund Insurance Company of America                 Detroit, MI 48239
Dearborn , School Dist. of the City of                     Self-Insured ID: 37055082
Mr. Robert S. Cipriano                                     Gallagher Bassett Services, Inc.
18700 Audette                                              Detroit Medical Center, The
Dearborn, MI 48124                                         Ms. Juanita Johnson
Self-Insured ID: 82000182                                  Suite 600
Accident Fund Insurance Company of America                 3740 John R
Dearborn Heights , City of                                 Detroit, MI 48201
Mr. Donald S. Barrow                                       Self-Insured ID: 80000682
6045 Fenton                                                Michigan Health & Hospital Association Service Corp.
Dearborn Heights, MI 48127                                 Dickinson County Healthcare System
Self-Insured ID: 99901682                                  Ms. Sheri LeBombard
RSKCo Services, Inc.                                       1721 S. Stephenson Avenue
Decker Manufacturing Corporation                           Iron Mountain, MI 49801
Mr. Terrence B. DeWeerd                                    Self-Insured ID: 80050022
703 North Clark Street                                     Citizens Management Inc.
Albion, MI 49224                                           Dolgencorp, Inc.
Self-Insured ID: 34025791                                  Ms. Ann Tenpenny
Citizens Management Inc.                                   100 Mission Ridge
Delaco Steel Corporation                                   Goodlettsville, TN 37072
Ms. Kristina O'Connor                                      Self-Insured ID: 53002285
930 S. Saginaw Street                                      Frank Gates Service Company
Lapeer, MI 48446
Self-Insured ID: 50019330
Accident Fund Insurance Company of America
  Program: names2.frx                                                                                  Page: 8
                                   Bureau of Workers' & Unemployment Compensation
  Print Date: 12/01/2003
  Print Time: 09:09:36
                                                 Self-Insured Programs
                                        Individual Self-Insured Employer List
Domestic Linen Supply & Laundry Company                    Edison Institute, The
Mr. George Collet                                          DBA Henry Ford Museum & Greenfield Vill.
30555 Northwestern Highway Suite 300                       Mr. Jim Rankine
Farmington Hills, MI 48334                                 20900 Oakwood Boulevard
Self-Insured ID: 72008446                                  P.O. Box 1970
Cambridge Integrated Services Group, Inc.                  Dearborn, MI 48121-1970
Du Pont de Nemours, E.I., & Company                        Self-Insured ID: 84001082
Ms. Rose O'Neill                                           Cambridge Integrated Services Group, Inc.
Room D-8065                                                Edwards Brothers, Inc.
1007 Market Street                                         Ms. Colleen Hosken
Wilmington, DE 19898                                       2500 South State Street
Self-Insured ID: 28091314                                  P.O. Box 1007
Broadspire Services, Inc.                                  Ann Arbor, MI 48106-1007
E Q Holding Company                                        Self-Insured ID: 27051221
Mr. D. David Dietz                                         Mackinaw Administrators, LLC
36255 Michigan Avenue                                      Emerson Electric Co.
Wayne, MI 48184                                            Ms. Linda Donahue
Self-Insured ID: 95001081                                  8000 W. Florissant
Alternative Service Concepts LLC                           P.O. Box 4100
Eagle Alloy, Inc.                                          St. Louis, MO 63136
Ms. Connie S. Larson                                       Self-Insured ID: 36059055
5142 Evanston Avenue                                       Crawford & Company
Muskegon, MI 49442                                         Empire Iron Mining Partnership
Self-Insured ID: 26014061                                  c/o Cleveland Cliffs Iron Company
Eagle Claims Management, LLC                               Mr. Richard L. Bihn
East Detroit,School Dist. of the City of                   1100 Superior Avenue
Mr. Ron J. Ciranna                                         Cleveland, OH 44114-2589
15115 Deerfield                                            Self-Insured ID: 10090885
East Pointe, MI 48021                                      Sedgwick Claims Management Services, Inc.
Self-Insured ID: 82000250                                  Ervin Industries, Inc.
Accident Fund Insurance Company of America                 Mr. Roger Nash
East Jordan Iron Works, Inc.                               3893 Research Park Drive
Mr. Jack Poindexter                                        Ann Arbor, MI 48106-1168
301 Spring Street                                          Self-Insured ID: 35028870
P.O. Box 439                                               Cambridge Integrated Services Group, Inc.
East Jordan, MI 49727                                      Escanaba , City of
Self-Insured ID: 33000821                                  Mr. Michael Dewar
Michigan Claim Service DBA The ASU Group                   410 Ludington Street
East Lansing , City of                                     P.O. Box 948
Mr. Gary P. Murphy                                         Escanaba, MI 49829
410 Abbott Road                                            Self-Insured ID: 99900121
East Lansing, MI 48823                                     Self-Administered
Self-Insured ID: 99900233                                  Evangelical Homes of Michigan
Accident Fund Insurance Company of America                 Ms. Denise Rabidoux
Eastern Michigan University                                18000 Coyle Avenue
Ms. Mary C. Brooks                                         Detroit, MI 48235
11 Welch Hall                                              Self-Insured ID: 80000821
Ypsilanti, MI 48197                                        Eagle Claims Management, LLC
Self-Insured ID: 82000081                                  Evans, Bob, Farms Inc.
Accident Fund Insurance Company of America                 Ms. Valerie K. Ogg
Eaton, County of                                           3776 South High Street
Mr. James A. Stewart                                       Columbus, OH 43207
1045 Independence Boulevard                                Self-Insured ID: 20002443
Charlotte, MI 48813                                        AIG Claim Services, Inc.
Self-Insured ID: 99900023
Michigan Claim Service DBA The ASU Group
  Program: names2.frx                                                                                    Page: 9
                                    Bureau of Workers' & Unemployment Compensation
  Print Date: 12/01/2003
  Print Time: 09:09:36
                                                  Self-Insured Programs
                                         Individual Self-Insured Employer List
Evans, Stu, Automotive Group, Inc.                          Federal Express Corporation
Mr. James Lynn                                              Ms. Julia Stegall
17500 Hall Road                                             P. O. Box 727
Clinton Township, MI 48036                                  Memphis, TN 38194-2132
Self-Insured ID: 55092200                                   Self-Insured ID: 43057760
Citizens Management Inc.                                    Sedgwick Claims Management Services, Inc.
F. C. S. Industries, Inc.                                   Federal Screw Works
Mr. Patrick W. Barron                                       Mr. David C. Swerc
9850 Pelham Road                                            20229 Nine Mile Road
Taylor, MI 48180-3852                                       St. Clair Shores, MI 48080-1775
Self-Insured ID: 42008282                                   Self-Insured ID: 34090708
Self-Administered                                           Comprehensive Risk Services, Inc.
Fairmount Minerals, Ltd.                                    Felpausch, G & R, Company
Ms. Michelle Pezanoski                                      Mr. Mark S. Felpausch
P.O. Box 177                                                127 S. Michigan Avenue
Wedron, IL 60557                                            Hastings, MI 49058
Self-Insured ID: 32004885                                   Self-Insured ID: 54091008
Specialty Risk Services, Inc.                               Shield Risk Services, LLC
Farmington Public Schools                                   Ferndale , City of
Ms. Barbara A. Fries                                        Ms. Jaynmarie C. Hubanks
32500 Shiawassee                                            300 E. Nine Mile
Farmington, MI 48336                                        Ferndale, MI 48220-1797
Self-Insured ID: 82000763                                   Self-Insured ID: 99900763
Mackinaw Administrators, LLC                                RSKCo Services, Inc.
Faygo Beverages, Inc.                                       Ferris State University
c/o National Beverage Corp.                                 Ms. Marlene Dorman
Mr. Don Hatcher                                             Human Resource Development
Suite 400A                                                  420 Oak Street - Prakken Building 150
One North University Drive                                  Big Rapids, MI 49307-2020
Ft. Lauderdale, FL 33324                                    Self-Insured ID: 82000101
Self-Insured ID: 20036782                                   Accident Fund Insurance Company of America
Sentry Insurance a Mutual Company                           Ferrous Processing and Trading Co., Inc.
FedEx Freight East, Inc.                                    Ms. Kim White
Ms. Susan Thompson                                          3400 E. Lafayette
2200 Forward Drive                                          Detroit, MI 48207
P.O. Box 840                                                Self-Insured ID: 50028776
Harrison, AR 72602-0840                                     Alternative Service Concepts LLC
Self-Insured ID: 42009485                                   Fisher & Company, Inc.
Self-Administered                                           Mr. Richard Retman
FedEx Ground Package System, Inc.                           33180 Freeway Drive
Mr. Larry Parks                                             St. Clair Shores, MI 48082
3925 Embassy Parkway                                        Self-Insured ID: 37002950
P.O. Box 5459                                               Cambridge Integrated Services Group, Inc.
Akron, OH 44334-0459                                        Flexfab Horizons International, Inc.
Self-Insured ID: 42008585                                   Mr. Jeffrey L. Weiden
Crawford & Company                                          102 Cook Road
FedEx Supply Chain Services, Inc.                           Hastings, MI 49058
Mr. Todd J. Rosenberg                                       Self-Insured ID: 30013322
1475 Boettler Rd.                                           Eagle Claims Management, LLC
P.O. Box 5000                                               Flint , City of
Green, OH 44232-5000                                        Mr. Robert C. Erlenbeck
Self-Insured ID: 89009085                                   1101 S. Saginaw Street
Crawford & Company                                          Flint, MI 48502
                                                            Self-Insured ID: 99900125
                                                            Maxcis, Inc.
  Program: names2.frx                                                                                              Page: 10
                                    Bureau of Workers' & Unemployment Compensation
  Print Date: 12/01/2003
  Print Time: 09:09:36
                                                  Self-Insured Programs
                                         Individual Self-Insured Employer List
Flint Mass Transportation Authority                         Freedom Communications, Inc.
Mr. Dale Felpausch                                          Mr. Dean A. Reynolds
1401 South Dort Highway                                     17666 Fitch
Flint, MI 48503                                             Irvine, CA 92614
Self-Insured ID: 75098776                                   Self-Insured ID: 27021500
Cambridge Integrated Services Group, Inc.                   Sedgwick Claims Management Services, Inc.
Flint, School District of the City of                       Futuramic Tool & Engineering Co.
Ms. Lisa R. Leverette                                       Mr. C. J. Tanghe
923 East Kearsley Street                                    24680 Gibson
Flint, MI 48503-1900                                        Warren, MI 48089
Self-Insured ID: 82000125                                   Self-Insured ID: 35040050
Cambridge Integrated Services Group, Inc.                   Citizens Management Inc.
Flowserve US Inc.                                           Garden City , City of
Ms. Jill T. Longendelpher                                   Ms. Allyson Bettis
2200 E. Monument St.                                        6000 Middlebelt Road
Dayton, OH 45402                                            Garden City, MI 48135
Self-Insured ID: 39014560                                   Self-Insured ID: 99901001
Constitution State Services LLC                             RSKCo Services, Inc.
Foamade Industries, Inc.                                    Garden City Hospital
Mr. David Steinberg                                         Mr. Robert J. Giddings
2550 Auburn Court                                           6245 Inkster Road
P.O. Box 215110                                             Garden City, MI 48135
Auburn Hills, MI 48321-5110                                 Self-Insured ID: 80001882
Self-Insured ID: 30016600                                   Michigan Health & Hospital Association Service Corp.
Cambridge Integrated Services Group, Inc.                   General Motors Corporation
Foote, W. A., Memorial Hospital Inc.                        Mr. Daniel J. Osborne
Mr. Kenneth W. Empey                                        200 Renaissance Center
205 North East Avenue                                       P.O. Box 200 Mail Code 482-B37-A68
Jackson, MI 49201                                           Detroit, MI 48265-2000
Self-Insured ID: 80000999                                   Self-Insured ID: 37999000
Michigan Health & Hospital Association Service Corp.        Self-Administered
Ford , Henry, Health System                                 Genesee County
Mr. John R. Mucha                                           Ms. Annese Ashton
1 Ford Place, 4B                                            3rd. Floor
HFHS Risk Finance & Insurance Services                      1101 Beach Street
Detroit, MI 48202-3450                                      Flint, MI 48502
Self-Insured ID: 80000982                                   Self-Insured ID: 99900225
J.P. Bender & Associates, Inc.                              Michigan Claim Service DBA The ASU Group
Ford Motor Company                                          Georgia-Pacific Corporation
Mr. Robert E. Finnessy                                      Mr. Arden K. Young
Room 246                                                    8th Floor
19540 Allen Road                                            133 Peachtree Street NE
Melvindale, MI 48122                                        Atlanta, GA 30303
Self-Insured ID: 374F0000                                   Self-Insured ID: 52005211
Self-Administered                                           Self-Administered
Frankenmuth Bavarian Inn, Inc.                              Georgie Boy Manufacturing, LLC.
Mr. Vernon Schiefer                                         Mr. Joe Steele
713 S. Main Street                                          2831 Dexter Drive
Frankenmuth, MI 48734                                       P.O. Box 3300
Self-Insured ID: 58011873                                   Elkhart, IN 46515
Citizens Management Inc.                                    Self-Insured ID: 37091414
                                                            GAB Robins Risk Management Services, Inc.
  Program: names2.frx                                                                                    Page: 11
                                    Bureau of Workers' & Unemployment Compensation
  Print Date: 12/01/2003
  Print Time: 09:09:36
                                                  Self-Insured Programs
                                         Individual Self-Insured Employer List
Gill Industries, Inc.                                       Great Atlantic & Pacific Tea Co., Inc.
Ms. Rita Woodruff                                           Ms. Betty Ann Moravek
5271 Plainfield Ave. N.E.                                   2 Paragon Drive
Grand Rapids, MI 49525                                      Montvale, NJ 07645
Self-Insured ID: 35033841                                   Self-Insured ID: 54090268
Accident Fund Insurance Company of America                  Crawford & Company
Grand Lodge of Free and Accepted Masons                     Great Lakes Castings Corporation
of the State of Michigan                                    Ms. Carol Elenbaas
Mr. Richard Amon                                            800 N. Washington Avenue
233 Fulton Street East                                      Ludington, MI 49431
Grand Rapids, MI 49503                                      Self-Insured ID: 33077791
Self-Insured ID: 86015041                                   Citizens Management Inc.
Michigan Health & Hospital Association Service Corp.        Great Lakes Energy Cooperative
Grand Rapids City of                                        Mr. John E. Fought
Ms. Sheila Mahan                                            P.O. Box 70
Risk Management Office                                      Boyne City, MI 49712
300 Monroe Ave., NW                                         Self-Insured ID: 49092315
Grand Rapids, MI 49503                                      Accident Fund Insurance Company of America
Self-Insured ID: 99900141                                   Grede Foundries, Inc.
Self-Administered                                           Mr. Gary A. Ertel
Grand Rapids Gravel Company                                 9898 W. Bluemound Road
Mr. Bradner Rahn                                            Milwaukee, WI 53226
2700 28th Street, SW                                        Self-Insured ID: 33017203
P.O. Box 9160                                               Sentry Insurance a Mutual Company
Grand Rapids, MI 49509                                      Green, John E., Company Inc.
Self-Insured ID: 32002241                                   Mr. John R. Green
Citizens Management Inc.                                    220 Victor Avenue
Grand Rapids Public Schools                                 Highland Park, MI 48203
Ms. Dawn M. Berenyi                                         Self-Insured ID: 36070127
1331 Franklin Street, S.E.                                  Accident Fund Insurance Company of America
P.O. Box 117                                                Griffin Beverage Co.
Grand Rapids, MI 49501-0117                                 Mr. Robert T. Griffin
Self-Insured ID: 82000141                                   1901 North Dam Road
Michigan Claim Service DBA The ASU Group                    West Branch, MI 48661
Grand Traverse County                                       Self-Insured ID: 20070012
Ms. Marilyn Brown                                           Citizens Management Inc.
400 Boardman Avenue                                         Griswold Machine & Engineering, Inc.
Traverse City, MI 49684                                     Mr. David L. Henion
Self-Insured ID: 99900028                                   8530 Highway M-60
Citizens Management Inc.                                    P.O. Box 98
Grand Valley State University                               Union City, MI 49094
Ms. Stephanie Matthews-Smith                                Self-Insured ID: 35004040
140 Lake Michigan Hall                                      Eagle Claims Management, LLC
Allendale, MI 49401                                         Grosse Pointe Farms, City of
Self-Insured ID: 82001441                                   Mr. Shane L. Reeside
Eagle Claims Management, LLC                                90 Kerby Road
Gratiot Health System                                       Grosse Pointe Farms, MI 48236
dba Gratiot Community Hospital                              Self-Insured ID: 99901782
Ms. Robin Whitmore                                          Cambridge Integrated Services Group, Inc.
300 East Warwick Drive                                      Grosse Pointe Public School System
Alma, MI 48801                                              Mr. Christian A. Fenton
Self-Insured ID: 80001029                                   389 St. Clair
Michigan Health & Hospital Association Service Corp.        Grosse Pointe, MI 48230
                                                            Self-Insured ID: 82001082
                                                            Alternative Service Concepts LLC
  Program: names2.frx                                                                                              Page: 12
                                    Bureau of Workers' & Unemployment Compensation
  Print Date: 12/01/2003
  Print Time: 09:09:36
                                                  Self-Insured Programs
                                         Individual Self-Insured Employer List
Grosse Pointe Woods, City of                                Hercules Incorporated
Mr. Clifford J. Maison                                      Ms. Barbara L. Buss
20025 Mack Plaza                                            1313 N. Market Street
Grosse Pointe Woods, MI 48236                               Hercules Plaza
Self-Insured ID: 99900663                                   Wilmington, DE 19894-0001
Alternative Service Concepts LLC                            Self-Insured ID: 28091270
Guardian Industries Corp.                                   Self-Administered
Ms. Colleen M. Maloney                                      Highland Park, City of
2300 Harmon Road                                            Mr. Marcel Pultorak
Auburn Hills, MI 48326-1714                                 12050 Woodward Avenue
Self-Insured ID: 51070263                                   Highland Park, MI 48203
ESIS, Inc.                                                  Self-Insured ID: 99900582
Hamilton Farm Bureau Co-Operative, Inc.                     Cambridge Integrated Services Group, Inc.
Mr. Warren Berens                                           Highland Park,School Dist of the City of
East Washington Street                                      Mr. John D. White
P.O. Box 186                                                20 Bartlett Avenue
Hamilton, MI 49419                                          Highland Park, MI 48203
Self-Insured ID: 59011234                                   Self-Insured ID: 82000382
Eagle Claims Management, LLC                                RSKCo Services, Inc.
Hamtramck, City of                                          Hillsdale , County of
Mr. William Barnett                                         Mr. Gary A. Leininger
3401 Evaline                                                County Court House
Hamtramck, MI 48212                                         29 N. Howell Street
Self-Insured ID: 99900282                                   Hillsdale, MI 49242
Cambridge Integrated Services Group, Inc.                   Self-Insured ID: 99900130
Haworth, Incorporated                                       RSKCo Services, Inc.
Mr. Thomas F. Durkin                                        Hirschfield, H., Sons Company
One Haworth Center 3-34A                                    Mr. Timothy J. Neal
Holland, MI 49423                                           1414 N. Madison Avenue
Self-Insured ID: 73016843                                   P.O. Box 460
Chubb Services Corporation                                  Bay City, MI 48707
Hayes Lemmerz International, Inc.                           Self-Insured ID: 17091632
Mr. Michael A. Coffman                                      Citizens Management Inc.
15300 Centennial Drive                                      Holcim (US) Inc.
Northville, MI 48167                                        Mr. Kurt Walker
Self-Insured ID: 37090157                                   6211 Ann Arbor Road
Mackinaw Administrators, LLC                                P.O. Box 122
HealthSource Saginaw                                        Dundee, MI 48131
Mr. Lester Heyboer                                          Self-Insured ID: 14046058
3340 Hospital Rd.                                           ESIS, Inc.
Saginaw, MI 48608                                           Holland Community Hospital
Self-Insured ID: 80001773                                   Mr. Chuck Kohlruss
Michigan Health & Hospital Association Service Corp.        602 Michigan Avenue
Healthshare, Incorporated                                   Holland, MI 49423
Ms. Christine VanSlembrouck                                 Self-Insured ID: 80000295
416 Connable Avenue                                         Michigan Health & Hospital Association Service Corp.
Petoskey, MI 49770                                          Holland Home
Self-Insured ID: 80000324                                   Mr. Gene Gess
Michigan Health & Hospital Association Service Corp.        2100 Raybrook Ave., S.E. #300
Hercules Drawn Steel Corp.                                  Grand Rapids, MI 49546
Mr. Mark Goodman                                            Self-Insured ID: 80000741
38901 Amrhein Road                                          Eagle Claims Management, LLC
Livonia, MI 48150
Self-Insured ID: 33078882
Michigan Claim Service DBA The ASU Group
  Program: names2.frx                                                                                       Page: 13
                                 Bureau of Workers' & Unemployment Compensation
  Print Date: 12/01/2003
  Print Time: 09:09:36
                                               Self-Insured Programs
                                      Individual Self-Insured Employer List
Hollywood Super Market Inc.                              Huron Valley Schools
Ms. Kimberly Welch Harlan                                Mr. Samuel R. Osborn
P.O. Box 1286                                            2390 S. Milford Road
Troy, MI 48099-1286                                      Highland, MI 48357
Self-Insured ID: 54022112                                Self-Insured ID: 82002063
Accident Fund Insurance Company of America               Citizens Management Inc.
Home Depot U.S.A., Inc.                                  Hyatt Corporation
Mr. Jim Bramlett                                         Ms. Kelly Wasilewski
2455 Paces Ferry Road                                    200 West Madison
Atlanta, GA 30339                                        Chicago, IL 60606
Self-Insured ID: 52030085                                Self-Insured ID: 70091386
Sedgwick Claims Management Services, Inc.                RSKCo Services, Inc.
Houghton County                                          Iafrate, Angelo, Construction Company
Mr. John M. Kelly                                        Mr. Craig S. Chall
401 East Houghton Avenue                                 26400 Sherwood
Houghton, MI 49931                                       Warren, MI 48091
Self-Insured ID: 99900031                                Self-Insured ID: 17008850
Citizens Management Inc.                                 Gallagher Bassett Services, Inc.
Howell Public Schools                                    Inalfa Roof Systems, Inc.
Mrs. Lynn Parrish                                        Mr. Dave Peshke
411 N. Highlander Way                                    1370 Pacific Drive
Howell, MI 48843                                         Auburn Hills, MI 48326
Self-Insured ID: 82000347                                Self-Insured ID: 37002320
Citizens Management Inc.                                 Accident Fund Insurance Company of America
Hubert Distributors, Inc.                                Indiana Michigan Power Company
Mr. Thomas A. Vella                                      Mr. L. Steven Tedrick
1200 Auburn Road                                         Integrated Disability Management Center
Pontiac, MI 48342                                        777 Hopewell Drive
Self-Insured ID: 51091463                                Heath, OH 43056-1581
Accident Fund Insurance Company of America               Self-Insured ID: 49090185
Huntington Bancshares Incorporated                       Frank Gates Service Company
Ms. Denise L. Thompson                                   Ingham County
41 South High Street                                     Ms. Connie L. Lange
Columbus, OH 43215                                       121 E. Maple
Self-Insured ID: 60055885                                P.O. Box 319
Frank Gates Service Company                              Mason, MI 48854
Huron Casting, Inc.                                      Self-Insured ID: 99900033
Mr. Matthew Davis                                        Accident Fund Insurance Company of America
7050 Hartley Street                                      Inkster , City of
Pigeon, MI 48755                                         Ms. Jennifer J. Smith
Self-Insured ID: 33000988                                2121 Inkster Road
RSKCo Services, Inc.                                     Inkster, MI 48141
Huron County of                                          Self-Insured ID: 99901382
Ms. Roberta Moetteli                                     Accident Fund Insurance Company of America
P.O. Box 69                                              International Industrial Contracting Corporation
Bad Axe, MI 48413-0069                                   Mr. Jonathan H. Firsht
Self-Insured ID: 99900032                                35900 Mound Road
Citizens Management Inc.                                 Sterling Heights, MI 48310
Huron Valley Ambulance, Inc.                             Self-Insured ID: 17045050
Ms. Judy Bolsenga                                        Cambridge Integrated Services Group, Inc.
2215 Hogback Road                                        International Paper Co.
Ann Arbor, MI 48105                                      Ms. Penny Humphrey
Self-Insured ID: 80000381                                Tower 2
Citizens Management Inc.                                 6400 Poplar Avenue
                                                         Memphis, TN 38197
                                                         Self-Insured ID: 26066432
                                                         Sedgwick Claims Management Services, Inc.
  Program: names2.frx                                                                                            Page: 14
                                  Bureau of Workers' & Unemployment Compensation
  Print Date: 12/01/2003
  Print Time: 09:09:36
                                                Self-Insured Programs
                                       Individual Self-Insured Employer List
Interstate Bakeries Corporation                           Kalamazoo County
Mr. Paul E. Yarick                                        Mr. Richard Kinas
P.O. Box 419627                                           201 W. Kalamazoo Avenue
Kansas City, MO 64141-6627                                Kalamazoo, MI 49007
Self-Insured ID: 20084085                                 Self-Insured ID: 99900039
Broadspire Services, Inc.                                 Eagle Claims Management, LLC
Inverness Castings Group, Inc.                            Kalamazoo, School Dist. of the City of
Mr. Chuck Varney                                          Mr. Richard W. Visel
101 Poplar                                                1220 Howard Street
P. O. Box 470                                             Kalamazoo, MI 49008
Dowagiac, MI 49047                                        Self-Insured ID: 82000139
Self-Insured ID: 33090544                                 Eagle Claims Management, LLC
ESIS, Inc.                                                Kasle Steel Corporation
Irwin Seating Company                                     Mr. Keith Bailey
Mr. Kevin Brower                                          4343 Wyoming
P.O. Box 2429                                             Dearborn, MI 48126
Grand Rapids, MI 49501                                    Self-Insured ID: 42040648
Self-Insured ID: 25042880                                 Comprehensive Risk Services, Inc.
Eagle Claims Management, LLC                              Keebler Company
Jackson , City of                                         Ms. Marguerite F. Mosher
Ms. Catherine M. Brechtelsbauer                           One Kellogg Square
161 West Michigan Avenue                                  P.O. Box 3599
Jackson, MI 49201                                         Battle Creek, MI 49016-3599
Self-Insured ID: 99900138                                 Self-Insured ID: 20075520
RSKCo Services, Inc.                                      Gallagher Bassett Services, Inc.
Jackson , County of                                       Kellogg Company
Mr. Chet Taraskiewicz                                     Ms. Marguerite F. Mosher
120 West Michigan Avenue                                  One Kellogg Square
Jackson, MI 49201                                         P.O. Box 3599
Self-Insured ID: 99900038                                 Battle Creek, MI 49016-3599
Citizens Management Inc.                                  Self-Insured ID: 20075911
Jacob, Daniel L., Co. Inc.                                Gallagher Bassett Services, Inc.
Mr. Charles B. Mead                                       Kelly Services, Inc.
2403 East High Street                                     Mr. Gary A. Pearce
Jackson, MI 49203-3421                                    999 West Big Beaver Road
Self-Insured ID: 51017338                                 Troy, MI 48084
Eagle Claims Management, LLC                              Self-Insured ID: 73039449
Johnson Controls, Inc.                                    CNA ClaimPlus Inc.
Ms. Kathleen E. Theisen                                   Kent , County of
c/o Marsh USA, Inc.                                       Mr. Phil Van Dyke
411 E. Wisconsin Avenue Suite 1600                        Fiscal Services, County Admin. Bldg.
Milwaukee, WI 53202                                       300 Monroe Avenue, N.W.
Self-Insured ID: 35046755                                 Grand Rapids, MI 49503
Underwriters Safety & Claims                              Self-Insured ID: 99900041
Journal Communications, Inc.                              Michigan Health & Hospital Association Service Corp.
Mr. Jeff D. Kluever                                       Key Plastics L.L.C.
333 West State Street                                     Ms. Ann J. Conigliaro
Milwaukee, WI 53203                                       21700 Haggerty Rd., Suite 100N
Self-Insured ID: 27095085                                 Northville, MI 48167
GAB Robins Risk Management Services, Inc.                 Self-Insured ID: 33085220
Kalamazoo , City of                                       Michigan Claim Service DBA The ASU Group
Mr. David M. Hess
241 W. South Street
Kalamazoo, MI 49007-4796
Self-Insured ID: 99900139
Eagle Claims Management, LLC
  Program: names2.frx                                                                                              Page: 15
                                    Bureau of Workers' & Unemployment Compensation
  Print Date: 12/01/2003
  Print Time: 09:09:36
                                                  Self-Insured Programs
                                         Individual Self-Insured Employer List
Khoury, Inc.                                                L & L Products, Inc.
Mr. Scott Larson                                            Ms. Susan R. Deeb
1011 North Stephenson Avenue                                160 McLean Drive
Iron Mountain, MI 49801                                     Romeo, MI 48065
Self-Insured ID: 25071322                                   Self-Insured ID: 30013450
Comprehensive Risk Services, Inc.                           Citizens Management Inc.
Kimberly-Clark Corporation                                  L'Anse Creuse Public Schools
Risk Management Department                                  Mr. Robert D. Randlett
Ms. Jennifer Kissner                                        36727 Jefferson Avenue
1414 W. Larsen Rd                                           Harrison Township, MI 48045
P.O. Box 349                                                Self-Insured ID: 82000450
Neenah, WI 54957-0349                                       Mackinaw Administrators, LLC
Self-Insured ID: 26072079                                   La Z Boy, Incorporated
Self-Administered                                           Mr. Scott Harrison
Klein Tools, Inc.                                           1284 North Telegraph Road
Mr. Victor Palazzolo                                        Monroe, MI 48162
7200 McCormick Boulevard                                    Self-Insured ID: 25055577
P.O. Box 599033                                             Crawford & Company
Chicago, IL 60659                                           Labor Ready Midwest, Inc.
Self-Insured ID: 34036650                                   Mr. Chip McKenna
Alternative Service Concepts LLC                            1015 A Street
Kmart Corporation                                           P.O. Box 2910
Mr. Lloyd A. Casto                                          Tacoma, WA 98401
Work Compensation Dept.                                     Self-Insured ID: 73013485
3100 West Big Beaver Road                                   ESIS, Inc.
Troy, MI 48084                                              Lacks Enterprises, Inc.
Self-Insured ID: 53090033                                   Mr. Chester J. Anisko
Cambridge Integrated Services Group, Inc.                   5460 Cascade Road SE
Knape & Vogt Manufacturing Company                          Grand Rapids, MI 49546
Ms. Leslie Cummings                                         Self-Insured ID: 30036101
2700 Oak Industrial Drive NE                                Citizens Management Inc.
Grand Rapids, MI 49505                                      Lake Orion Community Schools
Self-Insured ID: 25048162                                   Ms. Christine Lehman
Eagle Claims Management, LLC                                315 North Lapeer Street
Koppy Corporation                                           Lake Orion, MI 48362
Mr. Ronald Prater                                           Self-Insured ID: 82001463
199 Kay Industrial Dr.                                      Accident Fund Insurance Company of America
Orion, MI 48359                                             Lake Shore Public Schools
Self-Insured ID: 35027700                                   Ms. M. Grace Stafford
Citizens Management Inc.                                    28850 Harper Avenue
Kroger Co., The                                             St. Clair Shores, MI 48081
Ms. Peggy Jones                                             Self-Insured ID: 82000003
Suite 400                                                   Accident Fund Insurance Company of America
18334 Laurel Park Dr. N.                                    Lake Superior State University
Livonia, MI 48152-2686                                      Ms. Beverly E. White
Self-Insured ID: 54021957                                   650 West Easterday Avenue
Sedgwick Claims Management Services, Inc.                   Sault Ste. Marie, MI 49783
Kurdziel Industries, Inc.                                   Self-Insured ID: 82000221
Mr. Steven A. Wenk                                          Michigan Claim Service DBA The ASU Group
Suite 300                                                   Lakeland Regional Health System
801 West Norton Avenue                                      Mr. Gerard Guinane
Muskegon, MI 49441-6607                                     1234 Napier Avenue
Self-Insured ID: 35009880                                   St. Joseph, MI 49085
Citizens Management Inc.                                    Self-Insured ID: 80000275
                                                            Michigan Health & Hospital Association Service Corp.
  Program: names2.frx                                                                                    Page: 16
                                    Bureau of Workers' & Unemployment Compensation
  Print Date: 12/01/2003
  Print Time: 09:09:37
                                                  Self-Insured Programs
                                         Individual Self-Insured Employer List
Lakeview Public Schools                                     Limited Brands, Inc.
Mr. Scott E. Johnson                                        Ms. Sally A. Essmyer
20300 Statler                                               Three Limited Parkway
St. Clair Shores, MI 48081                                  Columbus, OH 43230
Self-Insured ID: 82000650                                   Self-Insured ID: 23001885
Accident Fund Insurance Company of America                  Specialty Risk Services, Inc.
Lansing , Board of Water & Light of the                     Lincoln Consolidated Schools
City of                                                     Mr. Albert A. Widner
Mr. Dana Tousley                                            8970 Whittaker Road
P.O. Box 13007                                              Ypsilanti, MI 48197
Lansing, MI 48901                                           Self-Insured ID: 82000481
Self-Insured ID: 49059333                                   RSKCo Services, Inc.
Cambridge Integrated Services Group, Inc.                   Little Caesar Enterprises, Inc.
Lansing , City of                                           Mr. C. Michael Healy
Ms. Sharon Bommarito                                        2211 Woodward Avenue
4th Floor City Hall                                         Detroit, MI 48201-3400
124 W. Michigan Avenue                                      Self-Insured ID: 58011999
Lansing, MI 48933                                           Constitution State Services LLC
Self-Insured ID: 99900133                                   Livonia , City of
Accident Fund Insurance Company of America                  Mr. Michael T. Slater
Lapeer Community Schools                                    33000 Civic Center Drive
Mr. Michael Meldrum                                         Livonia, MI 48154
1025 West Nepessing Street                                  Self-Insured ID: 99900982
Lapeer, MI 48446                                            Accident Fund Insurance Company of America
Self-Insured ID: 82000644                                   Livonia Public Schools
Citizens Management Inc.                                    Mr. J. Stephen Smith
Lapeer County                                               15125 Farmington Road
Mr. John Biscoe                                             Livonia, MI 48154-5474
255 Clay Street                                             Self-Insured ID: 82000782
Lapeer, MI 48446                                            Citizens Management Inc.
Self-Insured ID: 99900044                                   Louisiana-Pacific Corporation
Accident Fund Insurance Company of America                  Mr. Guy Boileau
Lapeer Metal Stamping Companies, Inc.                       Suite 1200
Ms. Kristina O'Connor                                       805 SW Broadway
930 South Saginaw Street                                    Portland, OR 97205
Lapeer, MI 48446-2699                                       Self-Insured ID: 24048042
Self-Insured ID: 33048888                                   Sedgwick Claims Management Services, Inc.
Accident Fund Insurance Company of America                  Lowe's Home Centers, Inc.
Lefere Forge & Machine Company                              Ms. Tia W. Schweikert
Mr. Gerald B. Lefere                                        P.O. Box 1111
665 Hupp Avenue                                             North Wilkesboro, NC 28656
Jackson, MI 49203                                           Self-Insured ID: 52005310
Self-Insured ID: 34030986                                   Specialty Risk Services, Inc.
Citizens Management Inc.                                    Lutheran Homes of Michigan, Inc.
Lenawee Health Alliance, Inc.                               Mr. George J. Rummel
Mr. Dennis Wright                                           9710 Junction Road
818 Riverside Avenue                                        P.O. Box 329
Adrian, MI 49221                                            Frankenmuth, MI 48734
Self-Insured ID: 80000846                                   Self-Insured ID: 80000819
Michigan Health & Hospital Association Service Corp.        Citizens Management Inc.
Levy, Edw. C., Co.                                          Lutheran Social Services of MI
Ms. Linda Wyatt                                             Mr. David Steele
9300 Dix Avenue                                             8131 East Jefferson
Dearborn, MI 48120                                          Detroit, MI 48214
Self-Insured ID: 15052604                                   Self-Insured ID: 80066082
Cambridge Integrated Services Group, Inc.                   Michigan Claim Service DBA The ASU Group
  Program: names2.frx                                                                                             Page: 17
                                   Bureau of Workers' & Unemployment Compensation
  Print Date: 12/01/2003
  Print Time: 09:09:37
                                                 Self-Insured Programs
                                        Individual Self-Insured Employer List
M G M Mirage                                               Malloy Incorporated
Ms. Deborah Nelson                                         Mr. Ben Mattison
3260 S. Industrial Road                                    P.O. Box 1124
Las Vegas, NV 89109                                        Ann Arbor, MI 48106
Self-Insured ID: 70092555                                  Self-Insured ID: 27077000
Self-Administered                                          Citizens Management Inc.
M N P Corporation                                          Manor Care, Inc.
Mr. Randy Allison                                          Ms. Lisa Jurski
P.O. Box 189002                                            333 N. Summit Street
44225 Utica Road                                           P.O. Box 10086
Utica, MI 48318-9002                                       Toledo, OH 43699-0086
Self-Insured ID: 34023050                                  Self-Insured ID: 80001485
Meadowbrook, Inc., dba Meadowbrook Claims Service          Self-Administered
Mac Valves, Inc.                                           Manthei, Inc.
Ms. Martha C. Welch                                        Mr. John A. Kopp
30569 Beck Road                                            3996 U.S. 31 S
P.O. Box 111                                               Petoskey, MI 49770
Wixom, MI 48393                                            Self-Insured ID: 24058072
Self-Insured ID: 35028135                                  Comprehensive Risk Services, Inc.
Alternative Service Concepts LLC                           Marquette General Health System
MacDonald's Industrial Products, Inc.                      Ms. Diane Bur-Smith
Ms. Melanie MacDonald                                      580 West College Ave.
4242 - 44th Street, SE                                     Marquette, MI 49855
Kentwood, MI 49512                                         Self-Insured ID: 80000452
Self-Insured ID: 35022332                                  Michigan Health & Hospital Association Service Corp.
Eagle Claims Management, LLC                               Marriott International, Inc.
Macomb , County of                                         Mr. Steve Huy
Macomb County Board of Commissioners                       Dept. 52/924.36
Mr. Richard Gasowski                                       Marriott Drive
8th Floor                                                  Washington, DC 20058
One South Main Street                                      Self-Insured ID: 70008085
Mt. Clemens, MI 48043                                      Self-Administered
Self-Insured ID: 99900050                                  Mary Free Bed Hospital & Rehab. Center
Accident Fund Insurance Company of America                 Ms. Anne H. Dierker
Macomb County Road Commission                              235 Wealthy Street, S.E.
Mr. Bo Kirk                                                Grand Rapids, MI 49503-5299
156 Malow                                                  Self-Insured ID: 80001441
P.O. Box 2347                                              Eagle Claims Management, LLC
Mt. Clemens, MI 48046-2347                                 Masco Corporation
Self-Insured ID: 99900350                                  Ms. Denise Peltz
Accident Fund Insurance Company of America                 21001 Van Born Road
Magna Donnelly Corporation                                 Taylor, MI 48180-1340
Ms. Lori Klokkert                                          Self-Insured ID: 33013705
49 West Third Street                                       Constitution State Services LLC
Holland, MI 49423                                          Mason , County of
Self-Insured ID: 32090470                                  Mr. Fabian Knizacky
Self-Administered                                          307 E. Ludington Avenue
Magnesium Products of America, Inc.                        Ludington, MI 49431
Mr. Tim Daiss                                              Self-Insured ID: 99900101
2001 Industrial Drive                                      Eagle Claims Management, LLC
Eaton Rapids, MI 48827                                     May Department Stores Company, The
Self-Insured ID: 33050123                                  DBA Lord & Taylor
Citizens Management Inc.                                   Ms. Debbie Young
                                                           611 Olive Street
                                                           St. Louis, MO 63101
                                                           Self-Insured ID: 53092700
                                                           Self-Administered
  Program: names2.frx                                                                                              Page: 18
                                    Bureau of Workers' & Unemployment Compensation
  Print Date: 12/01/2003
  Print Time: 09:09:37
                                                  Self-Insured Programs
                                         Individual Self-Insured Employer List
McClain Industries, Inc.                                    Mercy Memorial Hospital Corporation
Mr. Carl Jaworski                                           Mr. Dennis G. Pogarch
P.O. Box 180913                                             740 N. Macomb Street
Utica, MI 48318                                             P.O. Box 67
Self-Insured ID: 34023650                                   Monroe, MI 48161
Eagle Claims Management, LLC                                Self-Insured ID: 80001582
McLaren Health Care Corporation                             Michigan Health & Hospital Association Service Corp.
Ms. Linda L. Ford                                           Meridian Automotive Systems, Inc.
401 South Ballenger Highway                                 Ms. Barbara Ferguson
Flint, MI 48532-3685                                        Mail Box #1
Self-Insured ID: 80000525                                   14 N. Beardsley Road
Michigan Health & Hospital Association Service Corp.        Ionia, MI 48846
MeadWestvaco Corporation                                    Self-Insured ID: 37007534
Ms. Tonya Allbery                                           Michigan Claim Service DBA The ASU Group
3475 Newmark Drive                                          Mervyn's
Miamisburg, OH 45342                                        Ms. Angela Fethers
Self-Insured ID: 26040630                                   c/o Target Stores
Sedgwick Claims Management Services, Inc.                   1000 Nicollet Mall, TPN-1300
Mebus Manufacturing, Inc.                                   Minneapolis, MN 55403
Mr. Christopher Mebus                                       Self-Insured ID: 53086585
30350 Ecorse Road                                           Constitution State Services LLC
Romulus, MI 48174                                           Metaldyne Company LLC
Self-Insured ID: 33093543                                   Mr. Dean Teeples
Citizens Management Inc.                                    29125 Hall St.
Medstar, Inc.                                               Solon, OH 44139
Mr. Stewart Slipiec                                         Self-Insured ID: 33093082
380 North Gratiot                                           ESIS, Inc.
Clinton Twsp., MI 48036                                     Metalworks, Inc.
Self-Insured ID: 80001350                                   Mr. Thomas Paine
Specialty Risk Services, Inc.                               902 E. Fourth St.
Meijer Companies, Ltd.                                      Ludington, MI 49431
Mr. Timothy B. McNally                                      Self-Insured ID: 34007390
2929 Walker, N.W.                                           Accident Fund Insurance Company of America
Grand Rapids, MI 49544                                      Metropolitan Hospital
Self-Insured ID: 53090114                                   Ms. Sandra Sefton
Self-Administered                                           MetroHealth, Breton Plaza
Melling Tool Company                                        1925 Breton Road
Mr. Thomas C. Evanson                                       Grand Rapids, MI 49506
2620 Saradan Drive                                          Self-Insured ID: 80000241
P.O. Box 1188                                               Cambridge Integrated Services Group, Inc.
Jackson, MI 49204                                           Michigan Bell Telephone Company
Self-Insured ID: 35011038                                   Ms. Julie K. Long
Citizens Management Inc.                                    Room 7-P-40
Melody Foods, Inc. et al.                                   175 E. Houston
Ms. Terri A. Moore                                          San Antonio, TX 78205
31111 Industrial Road                                       Self-Insured ID: 48090154
Livonia, MI 48150                                           Sedgwick Claims Management Services, Inc.
Self-Insured ID: 20075982                                   Michigan Conf Assoc / 7th-Day Adventists
Citizens Management Inc.                                    Ms. Carol Thomas
Memorial Hospital, The                                      320 W. St. Joseph Street
dba Memorial Healthcare                                     P.O. Box 19009
Mr. Michael F. Grisdela                                     Lansing, MI 48901
826 West King                                               Self-Insured ID: 86012333
Owosso, MI 48867                                            Eagle Claims Management, LLC
Self-Insured ID: 80000178
Michigan Health & Hospital Association Service Corp.
  Program: names2.frx                                                                                           Page: 19
                                    Bureau of Workers' & Unemployment Compensation
  Print Date: 12/01/2003
  Print Time: 09:09:37
                                                  Self-Insured Programs
                                         Individual Self-Insured Employer List
Michigan Paving & Materials Company                         Midland , County of
Ms. Marlene J. VanPatten                                    Mr. Richard A. Enszer
5905 Belleville Rd.                                         220 W. Ellsworth Street
Belleville, MI 48111                                        Midland, MI 48640-5194
Self-Insured ID: 17091566                                   Self-Insured ID: 99900056
Helmsman Management Services, Inc.                          Eagle Claims Management, LLC
Michigan Rubber Products, Inc.                              Midland Public Schools
Mr. Thomas R. McHugh                                        Ms. Carol E. Laux
1200 Eighth Avenue                                          600 East Carpenter Street
Cadillac, MI 49601-9274                                     Midland, MI 48640
Self-Insured ID: 30052203                                   Self-Insured ID: 82000156
Eagle Claims Management, LLC                                Citizens Management Inc.
Michigan Seat Company                                       Miller, Howard, Clock Company
Mr. John Rappleye                                           DBA Howard Miller Company
2313 Brooklyn Road                                          Mr. Dennis J. Palasek
Jackson, MI 49203                                           860 East Main Avenue
Self-Insured ID: 34005538                                   Zeeland, MI 49464
Eagle Claims Management, LLC                                Self-Insured ID: 35078239
Michigan State Of                                           Citizens Management Inc.
Department of Management & Budget                           Moeller Mfg. Company, Inc.
Mr. Kenneth R. Swisher                                      Mr. Joseph R. Baker
Capital Commons Ctr., 4th Floor                             30100 Beck Road
400 S. Pine Street                                          Wixom, MI 48393
Lansing, MI 48933                                           Self-Insured ID: 35078082
Self-Insured ID: 99904433                                   Citizens Management Inc.
Citizens Management Inc.                                    Monitor Sugar Company
Michigan State University                                   Ms. June Lutz
Ms. Renee Rivard                                            2600 South Euclid Avenue
Suite 140                                                   Bay City, MI 48706
1407 S. Harrison                                            Self-Insured ID: 54090884
East Lansing, MI 48823                                      Cambridge Integrated Services Group, Inc.
Self-Insured ID: 82000033                                   Monroe , City of
Self-Administered                                           Mr. Joseph S. Lybik
Michigan Technological University                           120 East First Street
Ms. Ingrid E. Cheney                                        Monroe, MI 48161
1400 Townsend Drive                                         Self-Insured ID: 99900158
Houghton, MI 49931                                          Comprehensive Risk Services, Inc.
Self-Insured ID: 82000432                                   Monroe , County of
RSKCo Services, Inc.                                        Mr. Charles A. Londo
Michigan Tractor & Machinery Company                        125 East Second Street
DBA Michigan CAT                                            Monroe, MI 48161
Dr. Wesley W. Winn                                          Self-Insured ID: 99900058
P.O. Box 1020                                               Michigan Claim Service DBA The ASU Group
Wixom, MI 48393                                             Monroe County Road Commission
Self-Insured ID: 50090463                                   Ms. Deborah Turner
Citizens Management Inc.                                    840 South Telegraph Road
MidMichigan Health                                          Monroe, MI 48161
Ms. Chandra Morse                                           Self-Insured ID: 99900258
4005 Orchard Drive                                          Meadowbrook, Inc., dba Meadowbrook Claims Service
Midland, MI 48670                                           Monroe Public Schools
Self-Insured ID: 80000556                                   Mr. Terry L. Serbin
Michigan Health & Hospital Association Service Corp.        1275 North Macomb Street
                                                            P.O. Box 733
                                                            Monroe, MI 48162
                                                            Self-Insured ID: 82000558
                                                            Citizens Management Inc.
  Program: names2.frx                                                                                    Page: 20
                                    Bureau of Workers' & Unemployment Compensation
  Print Date: 12/01/2003
  Print Time: 09:09:37
                                                  Self-Insured Programs
                                         Individual Self-Insured Employer List
Morbark, Inc.                                               Northern Michigan University
Mr. Craig Price                                             Ms. Susan J. Menhennick
8507 S. Winn Road                                           Human Resources
Winn, MI 48896                                              1401 Presque Isle
Self-Insured ID: 39041122                                   Marquette, MI 49855
Eagle Claims Management, LLC                                Self-Insured ID: 82001552
Mount Clemens General Hospital, Inc.                        Accident Fund Insurance Company of America
Ms. Paula Mutch                                             O D L, Inc.
1000 Harrington Boulevard                                   Mr. Michael Burke
Mt. Clemens, MI 48043                                       215 E. Roosevelt
Self-Insured ID: 80000850                                   Zeeland, MI 49464
Michigan Health & Hospital Association Service Corp.        Self-Insured ID: 24067700
Munson Health Care                                          Accident Fund Insurance Company of America
Ms. Sue Peters                                              O S F Healthcare System
1105 Sixth Street                                           DBA St. Francis Hospital
Traverse City, MI 49684-2386                                Mr. Daniel E. Baker
Self-Insured ID: 80000128                                   800 N.E. Glen Oak Avenue
Michigan Health & Hospital Association Service Corp.        Peoria, IL 61603
Muskegon , County of                                        Self-Insured ID: 80000625
Mr. James B. Delaney                                        ESIS, Inc.
133 E. Apple Avenue                                         Oakland Community College
Muskegon, MI 49442                                          Mr. Ernest A. Harrison
Self-Insured ID: 99900061                                   2480 Opdyke Road
Self-Administered                                           Bloomfield Hills, MI 48304
Myr, Arthur B., Industries Inc.                             Self-Insured ID: 82001863
Mr. Ronald E. Breaugh                                       RSKCo Services, Inc.
39635 I-94 South Service Drive                              Oakland County
Belleville, MI 48111                                        Mr. Stanley B. Fayne
Self-Insured ID: 17001122                                   Department 471
RSKCo Services, Inc.                                        1200 North Telegraph Road
National City Corporation                                   Pontiac, MI 48341-0471
Ms. Kelly Blum                                              Self-Insured ID: 99900063
4100 West 150th Street Locator 5123                         Accident Fund Insurance Company of America
Cleveland, OH 44135-1389                                    Oakland County, Road Commission for
Self-Insured ID: 60077285                                   Ms. Donna K. Cianciolo
Helmsman Management Services, Inc.                          31001 Lahser Road
Newcor, Inc.                                                Beverly Hills, MI 48025
Mr. Scott Wright                                            Self-Insured ID: 99900263
Suite #100                                                  Mackinaw Administrators, LLC
4850 Coolidge Highway                                       Oakland University
Royal Oak, MI 48073                                         Ms. Barbara McGuire
Self-Insured ID: 35009763                                   142 North Foundation Hall
Alternative Service Concepts LLC                            Rochester, MI 48309-4401
Nicholas Plastics, Inc.                                     Self-Insured ID: 82000063
Mr. James A. Kieft                                          Michigan Claim Service DBA The ASU Group
11700 48th Ave. P.O. Box 136                                Oakwood Healthcare, Inc.
Allendale, MI 49401-0136                                    Ms. Dorinda A. Sherman
Self-Insured ID: 30012203                                   Village Plaza, Suite 230
Citizens Management Inc.                                    23400 Michigan Avenue
Nordstrom, Inc.                                             Dearborn, MI 48124
Ms. Dorene Wade                                             Self-Insured ID: 80000182
3501 W. Sunflower Ave.                                      Specialty Risk Services, Inc.
Santa Ana, CA 92704
Self-Insured ID: 53069985
Self-Administered
  Program: names2.frx                                                                                    Page: 21
                                    Bureau of Workers' & Unemployment Compensation
  Print Date: 12/01/2003
  Print Time: 09:09:37
                                                  Self-Insured Programs
                                         Individual Self-Insured Employer List
Ogihara America Corporation                                 Perfection Bakeries, Inc.
Mr. Patrick Casady                                          Mr. Jay E. Miller
1480 W. McPherson Park Drive                                350 Pearl Street
Howell, MI 48843                                            Fort Wayne, IN 46802
Self-Insured ID: 39013147                                   Self-Insured ID: 20030330
Citizens Management Inc.                                    Michigan Claim Service DBA The ASU Group
Ottawa County                                               Perrigo, L., Company
Mr. Mark Scheerhorn                                         Mr. James R. Ondersma
Room 331                                                    515 Eastern Avenue
12220 Fillmore Street                                       Allegan, MI 49010
West Olive, MI 49460                                        Self-Insured ID: 28091100
Self-Insured ID: 99900270                                   Michigan Claim Service DBA The ASU Group
Cambridge Integrated Services Group, Inc.                   Peterson American Corporation
Ottawa County Road Commission                               Mr. Timothy J. Masserant
Mr. Michael C. Mikita                                       21200 Telegraph Road
P.O. Box 739                                                Southfield, MI 48034
Grand Haven, MI 49417                                       Self-Insured ID: 33090975
Self-Insured ID: 99900070                                   Michigan Claim Service DBA The ASU Group
Eagle Claims Management, LLC                                Petitpren, Inc.
Owens-Illinois, Inc.                                        Mr. R. Thomas Snyder
Mr. Thad E. Franklin                                        44500 Groesbeck
One SeaGate                                                 Clinton Township, MI 48036-1111
Toledo, OH 43666                                            Self-Insured ID: 51038082
Self-Insured ID: 51070223                                   Mackinaw Administrators, LLC
Gates, McDonald & Co.                                       Pilkington North America, Inc.
P G P Corporation                                           Ms. Linda J. Smith
Mr. Paul Michael Voss                                       8300 Norman Center Drive, Suite 400
7925 Beech Daly Road                                        Minneapolis, MN 55437-3844
Taylor, MI 48180                                            Self-Insured ID: 28090210
Self-Insured ID: 33016904                                   Specialty Risk Services, Inc.
Cambridge Integrated Services Group, Inc.                   Pine Rest Christian Mental Health Services
P P G Industries, Inc.                                      Mr. Andrew George
Ms. Cyndi J. Greco                                          300 - 68th Street, S.E.
4325 Rosanna Drive, Building C                              P.O. Box 165
P. O. Box 2009                                              Grand Rapids, MI 49508
Allison Park, PA 15101                                      Self-Insured ID: 80000650
Self-Insured ID: 51091052                                   Eagle Claims Management, LLC
Sentry Insurance a Mutual Company                           Pine River Plastics, Inc.
Palace Sports & Entertainment, Inc.                         Mr. James Ciaramella
Ms. Kristin Frisbie                                         1111 FW Moore Highway
2 Championship Drive                                        St. Clair, MI 48079
Auburn Hills, MI 48326                                      Self-Insured ID: 30036774
Self-Insured ID: 79007763                                   Citizens Management Inc.
ESIS, Inc.                                                  Pinecrest Medical Care Facility
Parker Hannifin Corporation                                 Mr. Gerald A. Betters
Ms. Karen Olden                                             N15995 Main Street
6035 Parkland Boulevard                                     P.O. Box 603
Cleveland, OH 44124-4141                                    Powers, MI 49874-0603
Self-Insured ID: 34091478                                   Self-Insured ID: 80000655
Frank Gates Service Company                                 Citizens Management Inc.
Pemco Die Casting Corporation                               Plastech Engineered Products, Inc.
Mr. Terrence J. Allen                                       Mr. James Beining
9864 Church Street                                          22000 Garrison
P.O. Box 367                                                Dearborn, MI 48124
Bridgman, MI 49106                                          Self-Insured ID: 30046063
Self-Insured ID: 33048842                                   Constitution State Services LLC
Cambridge Integrated Services Group, Inc.
  Program: names2.frx                                                                                    Page: 22
                                    Bureau of Workers' & Unemployment Compensation
  Print Date: 12/01/2003
  Print Time: 09:09:37
                                                  Self-Insured Programs
                                         Individual Self-Insured Employer List
Plastomer Corporation                                       Port Huron Hospital
Mr. Walter P. Baughman III                                  Mr. Dennis L. Hoover
37819 Schoolcraft Road                                      1221 Pine Grove Avenue
Livonia, MI 48150-1096                                      Port Huron, MI 48060
Self-Insured ID: 30036750                                   Self-Insured ID: 80000174
Cambridge Integrated Services Group, Inc.                   Cambridge Integrated Services Group, Inc.
Plymouth-Canton Community Schools                           Portage , City of
Mr. Ray Bihun                                               Ms. Patti Thompson
454 South Harvey Street                                     7900 South Westnedge Avenue
Plymouth, MI 48170                                          Portage, MI 49002
Self-Insured ID: 82000982                                   Self-Insured ID: 99900339
Accident Fund Insurance Company of America                  Eagle Claims Management, LLC
Pontiac , City of                                           Portage Public Schools
Ms. Paulette Poehlman                                       Ms. Vickie Herzberg
47450 Woodward Avenue                                       8111 S. Westnedge Avenue
Pontiac, MI 48342                                           Portage, MI 49002
Self-Insured ID: 99900163                                   Self-Insured ID: 82000439
RSKCo Services, Inc.                                        Accident Fund Insurance Company of America
Pontiac General Hospital & Medical Center                   Pridgeon & Clay, Inc.
DBA North Oakland Medical Centers                           Ms. Therese Labenz
Mr. Gary Barnes                                             50 Cottage Grove, S.W.
Suite 201                                                   Grand Rapids, MI 49507
461 West Huron Street                                       Self-Insured ID: 35096648
Pontiac, MI 48341-1651                                      Cambridge Integrated Services Group, Inc.
Self-Insured ID: 80001163                                   Procter & Gamble Distributing Company
Citizens Management Inc.                                    Ms. B. A. Tribbe
Pontiac Osteopathic Hospital                                5299 Spring Grove Avenue
dba P.O.H. Medical Center                                   Box 209
Mr. Christopher J. Allman                                   Cincinnati, OH 45217
50 North Perry Street                                       Self-Insured ID: 26025284
Pontiac, MI 48342                                           Gates, McDonald & Co.
Self-Insured ID: 80000563                                   Progressive Tool & Industries Co.
Citizens Management Inc.                                    Ms. Tamara Contesti
Pontiac School District of the City of                      21000 Telegraph Road
Mr. Wallace L. Dunn                                         Southfield, MI 48034
47200 Woodward Avenue                                       Self-Insured ID: 34040999
Pontiac, MI 48342                                           Maxcis, Inc.
Self-Insured ID: 82000163                                   Quality Dairy Company
RSKCo Services, Inc.                                        Mr. Ron Belinsky
Port Huron , City of                                        111 W. Mt. Hope Avenue
Mr. John Berry                                              Lansing, MI 48910
100 McMorran Boulevard                                      Self-Insured ID: 54021933
Port Huron, MI 48060                                        Accident Fund Insurance Company of America
Self-Insured ID: 99900174                                   Ralcorp Holdings, Inc.
Accident Fund Insurance Company of America                  Ms. Cindy M. Boeckmann
Port Huron Area School District                             P.O. Box 618
Mr. Martin J. Prout                                         St. Louis, MO 63188-0618
1925 Lapeer Avenue                                          Self-Insured ID: 20036885
Port Huron, MI 48061-5013                                   Constitution State Services LLC
Self-Insured ID: 82000074                                   Randell Manufacturing, Inc.
Accident Fund Insurance Company of America                  Ms. Letha J. Raymond
                                                            520 South Coldwater Road
                                                            Weidman, MI 48893
                                                            Self-Insured ID: 35002210
                                                            Citizens Management Inc.
  Program: names2.frx                                                                                Page: 23
                                   Bureau of Workers' & Unemployment Compensation
  Print Date: 12/01/2003
  Print Time: 09:09:37
                                                 Self-Insured Programs
                                        Individual Self-Insured Employer List
Red Spot Paint & Varnish Co., Inc.                         Roman Catholic Diocese of Kalamazoo
Mr. Stephen K. Halling                                     and all related entities
P.O. Box 418                                               Mr. Vincent P. Andrews
Evansville, IN 47703-0418                                  510 South Capitol Avenue
Self-Insured ID: 28090885                                  Lansing, MI 48933
Cambridge Integrated Services Group, Inc.                  Self-Insured ID: 86000400
Redford Union Schools                                      Gallagher Bassett Services, Inc.
Mr. Frank R. Thomas                                        Roman Catholic Diocese of Lansing
18499 Beech Daly Road                                      and all related entities
Redford, MI 48240                                          Mr. Vincent P. Andrews
Self-Insured ID: 82001482                                  510 South Capitol Avenue
Eagle Claims Management, LLC                               Lansing, MI 48933
Ritsema, Herb, Company, The                                Self-Insured ID: 86000300
Ms. Judith Overbeek                                        Gallagher Bassett Services, Inc.
3000 Dormax                                                Roman Catholic Diocese of Marquette
Grandville, MI 49418                                       and all related entities
Self-Insured ID: 17001041                                  Mr. Vincent P. Andrews
Citizens Management Inc.                                   510 South Capitol Avenue
Rochester Community Schools                                Lansing, MI 48933
Dr. John J. Dietz                                          Self-Insured ID: 86000900
501 West University Drive                                  Gallagher Bassett Services, Inc.
Rochester, MI 48307                                        Roman Catholic Diocese of Saginaw
Self-Insured ID: 82000663                                  and all related entities
RSKCo Services, Inc.                                       Mr. Vincent P. Andrews
Rollins, Inc. et al                                        510 South Capitol Avenue
Mr. Nelson Jackson                                         Lansing, MI 48933
2170 Piedmont Road                                         Self-Insured ID: 86000500
Atlanta, GA 30324                                          Gallagher Bassett Services, Inc.
Self-Insured ID: 26026327                                  Romeo Community Schools School District
Gallagher Bassett Services, Inc.                           Ms. Synthia Schwark
Roman Catholic Archdiocese of Detroit                      316 North Main Street
and all related entities                                   Romeo, MI 48065
Mr. Vincent P. Andrews                                     Self-Insured ID: 82001350
510 South Capitol Avenue                                   Citizens Management Inc.
Lansing, MI 48933                                          Roseville Community Schools
Self-Insured ID: 86000200                                  Ms. Rebecca Vasil
Gallagher Bassett Services, Inc.                           18975 Church Street
Roman Catholic Diocese of Gaylord                          Roseville, MI 48066
and all related entities                                   Self-Insured ID: 82000350
Mr. Vincent P. Andrews                                     RSKCo Services, Inc.
510 South Capitol Avenue                                   Rouge Steel Company
Lansing, MI 48933                                          Ms. Shirley A. Priskorn
Self-Insured ID: 86000600                                  3001 Miller Road
Gallagher Bassett Services, Inc.                           P. O. Box 1699
Roman Catholic Diocese of Grand Rapids                     Dearborn, MI 48121
and all related entities                                   Self-Insured ID: 33013982
Mr. Vincent P. Andrews                                     Self-Administered
510 South Capitol Avenue                                   Royal Oak , City of
Lansing, MI 48933                                          Mr. Lawrence M. Doyle
Self-Insured ID: 86000700                                  211 Williams Street
Gallagher Bassett Services, Inc.                           P.O. Box 64
                                                           Royal Oak, MI 48068-0064
                                                           Self-Insured ID: 99900463
                                                           Citizens Management Inc.
  Program: names2.frx                                                                                   Page: 24
                                   Bureau of Workers' & Unemployment Compensation
  Print Date: 12/01/2003
  Print Time: 09:09:37
                                                 Self-Insured Programs
                                        Individual Self-Insured Employer List
Royal Oak , School Dist. of the City of                    Saint Joseph , City of
Mr. G. Anders Linell                                       Mr. Frank L. Walsh
1123 Lexington Boulevard                                   700 Broad Street
Royal Oak, MI 48073                                        St. Joseph, MI 49085
Self-Insured ID: 82001763                                  Self-Insured ID: 99900111
RSKCo Services, Inc.                                       Accident Fund Insurance Company of America
Royal Plastics, Inc.                                       Sanders, Joseph, Inc.
Mr. Kirk Lambers                                           Mr. Dale Sanders
3765 Quincy                                                237 South Main
Hudsonville, MI 49426                                      Custer, MI 49405
Self-Insured ID: 30012045                                  Self-Insured ID: 20084002
Citizens Management Inc.                                   Self-Administered
Ryder System, Inc.                                         Sarnamotive Blue Water, Inc.
Ms. Linda Zingsheim                                        Mr. Daniel Lockwood
3600 N.W. 82nd Avenue                                      1515 Busha Highway
Miami, FL 33166                                            P.O. Box 129
Self-Insured ID: 42056445                                  Marysville, MI 48040-0129
Self-Administered                                          Self-Insured ID: 30090274
S P X Corporation                                          Cambridge Integrated Services Group, Inc.
Ms. Carol Brocci                                           Schoolcraft College
13515 Ballantyne Corporate Place                           Ms. Jill F. O'Sullivan
Charlotte, NC 28277                                        18600 Haggerty Road
Self-Insured ID: 37090204                                  Livonia, MI 48152-2696
Constitution State Services LLC                            Self-Insured ID: 82002082
SEMCO Energy, Inc.                                         Cambridge Integrated Services Group, Inc.
Mr. Steven W. Warsinske                                    Schreiber Corporation
405 Water Street                                           Ms. Rita M. Bravo
Port Huron, MI 48061-5026                                  2239 Fenkell
Self-Insured ID: 49092074                                  P.O. Box 38119
Accident Fund Insurance Company of America                 Detroit, MI 48238
Saginaw , City of                                          Self-Insured ID: 17091663
Ms. Marsha W. Ostler                                       Mackinaw Administrators, LLC
Room 202                                                   Sherriff-Goslin Company
1315 South Washington Avenue                               Mr. William Ticknor
Saginaw, MI 48601                                          10 Avenue C
Self-Insured ID: 99900173                                  Battle Creek, MI 49015
Cambridge Integrated Services Group, Inc.                  Self-Insured ID: 17005000
Saginaw , County of                                        Citizens Management Inc.
Mr. Marc A. McGill                                         Sherwin-Williams Company
111 South Michigan Avenue                                  Mr. Anthony J. Colangelo
Saginaw, MI 48602                                          101 Prospect Avenue N.W.
Self-Insured ID: 99900073                                  Cleveland, OH 44115
Citizens Management Inc.                                   Self-Insured ID: 28087088
Saint Clair , County of                                    Gallagher Bassett Services, Inc.
Mr. Troy Feltman                                           Shiawassee County
Suite 201                                                  Ms. Christina F. Volek
200 Grand River                                            Surbeck Building
Port Huron, MI 48060                                       201 North Shiawassee Street
Self-Insured ID: 99900374                                  Corunna, MI 48817
RSKCo Services, Inc.                                       Self-Insured ID: 99900078
Saint Clair Shores , City of                               RSKCo Services, Inc.
Mr. Timothy P. Haney
27600 Jefferson Circle Drive
St. Clair Shores, MI 48081
Self-Insured ID: 99900150
Citizens Management Inc.
  Program: names2.frx                                                                                    Page: 25
                                    Bureau of Workers' & Unemployment Compensation
  Print Date: 12/01/2003
  Print Time: 09:09:37
                                                  Self-Insured Programs
                                         Individual Self-Insured Employer List
Southgate , City of                                         Steel Tex Corporation
Mr. David Angileri                                          Mr. Ronald Hanaway
14400 Dix Toledo Road                                       4527 Old Plank Road
Southgate, MI 48195                                         Milford, MI 48381
Self-Insured ID: 99901582                                   Self-Insured ID: 34040444
RSKCo Services, Inc.                                        Citizens Management Inc.
Southgate Community School District                         Steelcase Inc.
Mr. Rick Henegar                                            Mr. Mark Meyer
13201 Trenton Rd.                                           901 44th S.E.
Southgate, MI 48195                                         P. O. Box 1967
Self-Insured ID: 82001282                                   Grand Rapids, MI 49508
Accident Fund Insurance Company of America                  Self-Insured ID: 33006641
Sparrow Health System                                       Helmsman Management Services, Inc.
Ms. Susan A. Root                                           Stephenson & Lawyer, Inc.
Suite 235                                                   Ms. Judith Banker
1215 East Michigan Avenue                                   3831 Patterson, S.E.
Lansing, MI 48909                                           Grand Rapids, MI 49512
Self-Insured ID: 80000533                                   Self-Insured ID: 34026690
Michigan Health & Hospital Association Service Corp.        Eagle Claims Management, LLC
Spartan Motors, Inc.                                        Sterling Heights, City of
Ms. Janine Nierenberger                                     Mr. Mark Carufel
1165 Reynolds Road                                          40555 Utica Road
Charlotte, MI 48813                                         P.O. Box 8009
Self-Insured ID: 37009823                                   Sterling Heights, MI 48311-8009
Citizens Management Inc.                                    Self-Insured ID: 99900750
Spartan Stores, Inc.                                        Accident Fund Insurance Company of America
Mr. Charles R. Behrend                                      Stora Enso North America Corp.
P. O. Box 8700                                              Mr. David A. Carlson
850 - 76th Street S.W.                                      P. O. Box 8050
Grand Rapids, MI 49518                                      Wisconsin Rapids, WI 54495-8050
Self-Insured ID: 53091346                                   Self-Insured ID: 26018963
Shield Risk Services, LLC                                   Self-Administered
Spectrum Health Hospitals                                   Stryker Corporation
Mr. Richard P. Mieskowski                                   Mr. Christopher F. Homrich
Spectrum Health Human Resources                             2725 Fairfield Road
100 Michigan NE                                             Kalamazoo, MI 49002
Grand Rapids, MI 49503                                      Self-Insured ID: 38041001
Self-Insured ID: 80000941                                   Constitution State Services LLC
Michigan Health & Hospital Association Service Corp.        Sturgis , City of
Stanley Works, The                                          Mr. Michael L. Vance
Mr. M. Michael Maznio                                       130 North Nottawa Street
1000 Stanley Drive                                          Sturgis, MI 49091
New Britain, CT 06053                                       Self-Insured ID: 99900175
Self-Insured ID: 35030885                                   Eagle Claims Management, LLC
Specialty Risk Services, Inc.                               Sturgis Iron & Metal Company, Inc.
Stanton, David J., and Associates Inc.                      Mr. John A. Smits
Ms. Karen Gutowski                                          70675 Centerville Road
714 West Michigan Avenue                                    P.O. Box 579
Jackson, MI 49201                                           Sturgis, MI 49091
Self-Insured ID: 58065039                                   Self-Insured ID: 50018736
Eagle Claims Management, LLC                                Citizens Management Inc.
  Program: names2.frx                                                                                  Page: 26
                                   Bureau of Workers' & Unemployment Compensation
  Print Date: 12/01/2003
  Print Time: 09:09:37
                                                 Self-Insured Programs
                                        Individual Self-Insured Employer List
Suburban Mobility Auth. for Regional Transportation        Textron Inc.
Mr. Avery E. Gordon                                        Ms. Linda J. Smith
Suite 950                                                  Aon Risk Consultants, Inc.
660 Woodward Avenue                                        8300 Norman Center Drive, Suite 400
Detroit, MI 48226                                          Minneapolis, MN 55437-3844
Self-Insured ID: 35034894                                  Self-Insured ID: 35013580
Michigan Claim Service DBA The ASU Group                   Broadspire Services, Inc.
Summit Polymers, Inc.                                      ThyssenKrupp Budd Company
Ms. Janice M. Jett                                         Ms. April D. Oakes
6715 Sprinkle Road                                         3155 W. Big Beaver Road
Portage, MI 49002                                          P.O. Box 2601
Self-Insured ID: 28090239                                  Troy, MI 48007-2601
Alternative Service Concepts LLC                           Self-Insured ID: 37004364
Sunoco, Inc.                                               Self-Administered
Mr. Steve Metzler                                          Tilden Mining Company L. C.
17th floor                                                 Mr. Richard L. Bihn
1801 Market Street                                         1100 Superior Avenue
Philadelphia, PA 19103                                     Cleveland, OH 44114-2589
Self-Insured ID: 13099031                                  Self-Insured ID: 10057085
ESIS, Inc.                                                 Sedgwick Claims Management Services, Inc.
Target Corporation                                         Toledo Commutator Co.
Ms. Angela Fethers                                         Ms. Sue Stender
Risk Management Department TPN-1300                        1101 South Chestnut
1000 Nicollet Mall                                         P.O. Box 700
Minneapolis, MN 55403-2467                                 Owosso, MI 48867
Self-Insured ID: 53001952                                  Self-Insured ID: 36063078
Constitution State Services LLC                            Citizens Management Inc.
Taylor , City of                                           Tomkins Industries, Inc.
Ms. Debra A. Kinde                                         Mr. William G. Kiley
23555 Goddard Road                                         20334 Superior Road
Taylor, MI 48180                                           Taylor, MI 48180
Self-Insured ID: 99900782                                  Self-Insured ID: 33092940
Accident Fund Insurance Company of America                 Gallagher Bassett Services, Inc.
Taylor School District                                     Total Logistic Control, LLC
Mr. Michael L. Johnson                                     Mr. John Giraud
23033 Northline Road                                       8300 Logistic Drive
Taylor, MI 48180                                           Zeeland, MI 49464
Self-Insured ID: 82000282                                  Self-Insured ID: 42007070
Gallagher Bassett Services, Inc.                           Zurich Services Corporation, The
Tecumseh Products Company                                  Trendway Corporation
Mr. Randall Krichbaum                                      Mr. Harlan Sprik
100 East Patterson Street                                  13467 Quincy Street
Tecumseh, MI 49286                                         P.O. Box 9016
Self-Insured ID: 34005432                                  Holland, MI 49422-9016
Self-Administered                                          Self-Insured ID: 39003114
Ternes, Howard, Packaging Company                          Eagle Claims Management, LLC
Mr. Richard Everhart                                       Tri-State Hospital Supply Corporation
12285 Dixie Street                                         Mr. John J. Welter
Redford, MI 48239                                          301 Catrell Drive
Self-Insured ID: 26036682                                  P.O. Box 170
Cambridge Integrated Services Group, Inc.                  Howell, MI 48843
                                                           Self-Insured ID: 38021047
                                                           Cambridge Integrated Services Group, Inc.
  Program: names2.frx                                                                                          Page: 27
                                       Bureau of Workers' & Unemployment Compensation
  Print Date: 12/01/2003
  Print Time: 09:09:38
                                                     Self-Insured Programs
                                            Individual Self-Insured Employer List
Trinity Health-Michigan                                        Unilever United States, Inc.
Ms. Barbara Cook                                               Ms. Donna M. Hughes
34605 Twelve Mile Road                                         700 Sylvan Avenue
Farmington Hills, MI 48331                                     C-28-mailstop
Self-Insured ID: 80000163                                      Englewood Cliffs, NJ 07632
Specialty Risk Services, Inc.                                  Self-Insured ID: 28075885
Trostel, Albert, & Sons Company                                RSKCo Services, Inc.
Mr. Michael S. Curry                                           United Air Lines, Inc.
Plaza East Office Center - Suite 750                           Mr. John Smolk
330 East Kilbourn Ave.                                         Workers' Compensation Programs - WHQHR
Milwaukee, WI 53202                                            P.O. Box 66100
Self-Insured ID: 31027128                                      Chicago, IL 60666-0100
Sentry Insurance a Mutual Company                              Self-Insured ID: 41048000
Troy School District                                           Gallagher Bassett Services, Inc.
Mr. Michael M. Adamczyk                                        United Brass Manufacturers, Inc.
4400 Livernois Road                                            Mr. Raymond L. Frisbie
Troy, MI 48098                                                 P.O. Box 74095
Self-Insured ID: 82001063                                      Romulus, MI 48174-0095
Citizens Management Inc.                                       Self-Insured ID: 34090929
Tuscola , County of                                            Citizens Management Inc.
Mr. Michael R. Hoagland                                        United Jewish Foundation &
207 East Grant Street                                          Jewish Federation of Metro. Detroit
Caro, MI 48723                                                 Ms. Dorothy Benyas
Self-Insured ID: 99900079                                      6735 Telegraph Road Suite 210
Citizens Management Inc.                                       P.O. Box 2030
Tyson Foods, Inc.                                              Bloomfield Hills, MI 48303
Ms. Connie Downum                                              Self-Insured ID: 86011198
2210 Oaklawn                                                   Accident Fund Insurance Company of America
P. O. Box 2020                                                 United Methodist Retirement Communities, Inc.
Springdale, AR 72762                                           Mr. Dale Cole
Self-Insured ID: 02469085                                      805 West Middle Street
Self-Administered                                              Chelsea, MI 48118-1397
Tyson Fresh Meats, Inc.                                        Self-Insured ID: 80000642
Ms. Connie Downum                                              Citizens Management Inc.
Tyson Foods, Inc.                                              United States Gypsum Company
2210 Oaklawn Drive                                             Mr. Bruce A. Czyl
Springdale, AR 72762                                           c/o USG Corporation
Self-Insured ID: 51070085                                      125 S. Franklin Street, Dept. #198
Self-Administered                                              Chicago, IL 60606-4678
U S F Holland, Inc.                                            Self-Insured ID: 32091099
Mr. Ron Nyhoff                                                 Gallagher Bassett Services, Inc.
750 East 40th Street                                           United States Steel Corporation
Holland, MI 49423                                              Mr. Carl A. Masters
Self-Insured ID: 42096114                                      600 Grant Street Room 2544B
Constitution State Services LLC                                Pittsburgh, PA 15219-2800
U.S. Manufacturing Corporation                                 Self-Insured ID: 33030718
Ms. Laura Hudson                                               Self-Administered
28201 VanDyke                                                  University of MI, The Regents of the
Warren, MI 48093                                               Mr. G. Paul Moggach
Self-Insured ID: 35033774                                      Argus II Building
Accident Fund Insurance Company of America                     400 South Fourth Street
                                                               Ann Arbor, MI 48103-4816
                                                               Self-Insured ID: 82000581
                                                               Self-Administered
  Program: names2.frx                                                                                           Page: 28
                                    Bureau of Workers' & Unemployment Compensation
  Print Date: 12/01/2003
  Print Time: 09:09:38
                                                  Self-Insured Programs
                                         Individual Self-Insured Employer List
Utica Community Schools                                     Walled Lake Consolidated Schools
Ms. Diane M. Robinson                                       Mr. Craig S. Aleo
11303 Greendale                                             Building D
Sterling Heights, MI 48312                                  850 Ladd Road
Self-Insured ID: 82000750                                   Walled Lake, MI 48390
RSKCo Services, Inc.                                        Self-Insured ID: 82000363
Valassis Communications, Inc.                               Citizens Management Inc.
Ms. Wendy Robinson                                          Warren , City of
19975 Victor Parkway                                        Ms. Denise L. Williams
Livonia, MI 48152                                           29500 Van Dyke
Self-Insured ID: 27022552                                   Warren, MI 48093
Alternative Service Concepts LLC                            Self-Insured ID: 99901150
Van, Art, Furniture, Inc.                                   Mackinaw Administrators, LLC
Mr. Michael Bolton                                          Warren Consolidated Schools
6500 Fourteen Mile Road                                     Dr. William Kiefer
Warren, MI 48092                                            31300 Anita Drive - Administration Bldg.
Self-Insured ID: 57012809                                   Warren, MI 48093
Meadowbrook, Inc., dba Meadowbrook Claims Service           Self-Insured ID: 82000150
Veltri Metal Products, Inc.                                 RSKCo Services, Inc.
Mr. Mark J. MacGuidwin                                      Washers, Incorporated
Suite 270                                                   c/o Alpha Coatings, Inc.
900 Wilshire Drive                                          Mr. Mark Schilling
Troy, MI 48084                                              33375 Glendale Avenue
Self-Insured ID: 59001050                                   Livonia, MI 48150
Chubb Services Corporation                                  Self-Insured ID: 39036410
Venture Industries Corporation                              RSKCo Services, Inc.
Ms. Debra Wangrud                                           Washtenaw Community College
33662 James J. Pompo                                        Mr. Steve Hardy
P.O. Box 278                                                P.O. Box D-1
Fraser, MI 48026                                            Ann Arbor, MI 48106
Self-Insured ID: 30055350                                   Self-Insured ID: 82000881
Cambridge Integrated Services Group, Inc.                   Accident Fund Insurance Company of America
Visiting Nurse Association of S.E. MI., Inc.                Washtenaw County
Mr. John Byrne                                              Ms. Verna J. McDaniel
Suite 600                                                   220 North Main
25900 Greenfield Road                                       P.O. Box 8645
Oak Park, MI 48237                                          Ann Arbor, MI 48107
Self-Insured ID: 80001382                                   Self-Insured ID: 99900081
Mackinaw Administrators, LLC                                RSKCo Services, Inc.
Visteon Corporation                                         Waterford , Charter Township of
Ms. Karin S. Frederick                                      Ms. Dee A. Minton
Suite C490-112                                              Treasurer's Office
17000 Rotunda Dr.                                           5200 Civic Center Drive
Dearborn, MI 48121                                          Waterford, MI 48329-3773
Self-Insured ID: 37066063                                   Self-Insured ID: 99901063
Self-Administered                                           Comprehensive Risk Services, Inc.
Walker Acquisition Corp.                                    Waterford School District
DBA Walker Wire (ISPAT) Inc.                                Mr. Mark A. Zager
Mr. Daniel Gendron                                          4584 Pontiac Lake Road
660 East Ten Mile Road                                      Waterford, MI 48328
Ferndale, MI 48220                                          Self-Insured ID: 82000263
Self-Insured ID: 33025448                                   Meadowbrook, Inc., dba Meadowbrook Claims Service
Citizens Management Inc.
  Program: names2.frx                                                                                Page: 29
                                  Bureau of Workers' & Unemployment Compensation
  Print Date: 12/01/2003
  Print Time: 09:09:38
                                                Self-Insured Programs
                                       Individual Self-Insured Employer List
Wayne , City of                                           Western Michigan University
Mr. Timothy D. McCurley                                   Mr. Timothy R. Kellogg
3355 South Wayne Road                                     Business Services
Wayne, MI 48184                                           2324 Seibert Administration Building
Self-Insured ID: 99901282                                 Kalamazoo, MI 49008
Michigan Claim Service DBA The ASU Group                  Self-Insured ID: 82000039
Wayne , County of                                         Michigan Claim Service DBA The ASU Group
Ms. Mary Lou Solomon                                      Western-Southern Life Insurance Co.
5th Floor                                                 Ms. Noreen J. Hayes
600 Randolph                                              400 Broadway
Detroit, MI 48226                                         Cincinnati, OH 45202
Self-Insured ID: 99900082                                 Self-Insured ID: 63074853
Accident Fund Insurance Company of America                Gates, McDonald & Co.
Wayne County Airport Authority                            Westland, City of
Ms. Leigh Stepaniak                                       Mr. Keith Madden
Mezzanine Level                                           36601 Ford Road
Detroit, MI 48242                                         Westland, MI 48185
Self-Insured ID: 99901882                                 Self-Insured ID: 99901082
Accident Fund Insurance Company of America                Alternative Service Concepts LLC
Wayne County Community College                            Weyerhaeuser Company
Ms. Linda Azzam-Harmn                                     Ms. Betsie Doust
801 West Fort Street                                      Workers' Compensation
Detroit, MI 48226                                         P.O. Box 9777 MS:EC2-2B2
Self-Insured ID: 82002182                                 Federal Way, WA 98063-9777
RSKCo Services, Inc.                                      Self-Insured ID: 26091257
Wayne State University                                    Self-Administered
Office of Risk Management Academic/Admin. Bldg.           Whirlpool Corporation
Mr. Homer L. Isaac                                        Ms. Cristene D. Snow
Suite 3200                                                Maildrop #2903
5700 Cass Avenue                                          2000 North M-63
Detroit, MI 48202                                         Benton Harbor, MI 49022
Self-Insured ID: 82000082                                 Self-Insured ID: 39036578
Self-Administered                                         Helmsman Management Services, Inc.
Wayne Westland Community School District                  White Castle System, Inc.
Mr. Bernard M. LaPorte                                    Ms. Linda Kahkonen
36745 Marquette                                           555 West Goodale Street
Westland, MI 48185                                        Columbus, OH 43215-1158
Self-Insured ID: 82001182                                 Self-Insured ID: 58034085
Michigan Claim Service DBA The ASU Group                  Specialty Risk Services, Inc.
Wayne Wire Cloth Products, Inc.                           Wirtz Manufacturing Co., Inc.
Ms. Patricia Malone                                       Mr. Keith Lepla
200 Dresden                                               1105 24th Street
Kalkaska, MI 49646                                        P.O. Box 5006
Self-Insured ID: 34008770                                 Port Huron, MI 48061-5006
Citizens Management Inc.                                  Self-Insured ID: 30012799
Wendy's International, Inc.                               Citizens Management Inc.
Ms. Mary Ann Fielding                                     Wisconsin Electric Power Company
4288 West Dublin-Granville Road                           Mr. Michael S. Kaminski
P.O. Box 256                                              Room P378
Dublin, OH 43017                                          231 West Michigan Street
Self-Insured ID: 58035885                                 Milwaukee, WI 53203
ESIS, Inc.                                                Self-Insured ID: 49092100
                                                          Self-Administered
  Program: names2.frx                                                                                              Page: 30
                                    Bureau of Workers' & Unemployment Compensation
  Print Date: 12/01/2003
  Print Time: 09:09:38
                                                  Self-Insured Programs
                                         Individual Self-Insured Employer List
Wisconsin Public Service Corporation                        Ypsilanti , City of
Mr. David S. Nalepka                                        Ms. Shari Gregory
700 North Adams Street                                      One South Huron Street
P.O. Box 19001                                              Ypsilanti, MI 48197
Green Bay, WI 54301                                         Self-Insured ID: 99900381
Self-Insured ID: 49059585                                   RSKCo Services, Inc.
GAB Robins Risk Management Services, Inc.                   Zehnder's of Frankenmuth, Inc.
Wohlert Corporation                                         Ms. Martha Shelton
Mr. James W. Barnes                                         730 S. Main Street
708 East Grand River Avenue                                 Frankenmuth, MI 48734
Lansing, MI 48906                                           Self-Insured ID: 58034765
Self-Insured ID: 37077016                                   Citizens Management Inc.
Cambridge Integrated Services Group, Inc.                   Zieger Health Care Corporation
Wolpin Company, The                                         Ms. Judy O'Connor
Mr. Walter J. Wolpin                                        28050 Grand River Avenue
1600 Modern Street                                          Farmington Hills, MI 48336
Detroit, MI 48203                                           Self-Insured ID: 80001263
Self-Insured ID: 51017450                                   Michigan Health & Hospital Association Service Corp.
Gallagher Bassett Services, Inc.
Wolverine Packing Company
Mr. A. James Bonahoom
2535 Rivard
Detroit, MI 48207
Self-Insured ID: 20043617
Comprehensive Risk Services, Inc.
Wright & Filippis, Inc.
Ms. Sharon Myatt
2845 Crooks Road
Rochester Hills, MI 48309
Self-Insured ID: 38043302
Specialty Risk Services, Inc.
Wyandotte , City of
Mr. Todd A. Drysdale
3131 Biddle Avenue
Wyandotte, MI 48192
Self-Insured ID: 99900682
RSKCo Services, Inc.
Wyandotte , School Dist. of the City of
Mr. David Gutenschwager
639 Oak Street
Wyandotte, MI 48192
Self-Insured ID: 82000682
Cambridge Integrated Services Group, Inc.
Wyoming , City of
Mr. Timothy H. Smith
1155 - 28th Street S.W.
P.O. Box 905
Wyoming, MI 49509
Self-Insured ID: 99900341
Accident Fund Insurance Company of America
Yellow Transportation, Inc.
Ms. Cathy Wilson Pec
10990 Roe Avenue
P.O. Box 7270
Overland Park, KS 66207
Self-Insured ID: 42095556
Self-Administered

								
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