Contact Us
Contact Form
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.
FIRST REPORT OF INJURY
Download First Report Of Injury Form
Report your claim by Email: claimsmn.secured@meadowbrook.com
Report your claim by Fax: (651) 393-4880
CLAIM UPDATES, QUESTIONS, AND CONCERNS
For claim updates, questions, or concerns, please contact:
John Wiatros : Regional Claims Manager
- Direct Line: (952) 886-6216
- Email: jwiatros@mackadmin.com
RISK MANAGEMENT QUESTIONS OR CONCERNS
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
SALES, MARKETING & GENERAL QUESTIONS
For new business, fund materials, and all other requests or questions regarding the Self-Insured Funds, please contact :
Stacey Gohl : Regional Sales Executive
- Direct Line: (320) 249-4791
- Email: Sgohl@Mackadmin.com
RATES OR EXPERIENCE MOD FACTOR CALCULATIONS
For Rates or Experience Mod Factor Calculations questions or requests, please contact:
DeAnn Rigby : Sr. Underwriting Program Analyst
- Direct Line: (952) 886-6233
- Email: Modfactor@bandcfund.com
CERTIFICATES OF INSURANCE, LOSS RUNS, AND POLICIES
For Certificates of Insurance, Loss Runs or other Policy-related questions please contact:
Shannon Novotny : Underwriting Services
- Direct Line: (952) 886-6235
- Email: Certificates@bandcfund.com
