Download First Report Of Injury Form
Report your claim by Email:
Report your claim by Fax:
(651) 393-4880
For claim updates, questions, or concerns, please contact:
John Wiatros: Regional Claims Manager
Direct Line: (952) 886-6216
Email: jwiatros@mackadmin.com
For risk management questions or concerns, please contact :
Gary Smith: Assistant Vice President, Director National Loss Control
Direct Line: (810) 844-8122
Email: Gsmith@mackadmin.com
For new business, fund materials, and all other requests or questions regarding the Self-Insured Funds, please contact :
Doug Ellington:
Email: DEllington@mackadmin.com
For Rates or Experience Mod Factor Calculations questions or requests, please contact:
DeAnn Rigby: Sr. Underwriting Program Analyst
Direct Line: (952) 886-6233
Email: DRigby@MackAdmin.com
For Certificates of Insurance, Loss Runs or other Policy-related questions please contact:
Shannon Novotny: Underwriting Services
Direct Line: (952) 886-6235
Email: SNovotny@MackAdmin.com
Contact us today to learn more about how you can INVEST in your worker’s compensation coverage with the opportunity to see excess premiums returned to your wallet.
3500 American Blvd W, Suite 155
Bloomington, MN 55431
Copyright 2025 B&C Fund
