Meadowbrook Claims Service: 800-752-7477  (Press 4 for a representative)

Or: Claims Staff Direct Dial Contacts

After-hours claims emergency number:  800-752-7477  Option 5

Claims Procedures (start here if you’re new to MML claims)

Employer’s Report of Injury Form – web form to complete and submit online
Employer’s Report of Injury Form – fillable PDF to complete then email, fax, or mail
Use this form to report all injuries regardless of medical treatment or disability.

Order for Medical Treatment – Fillable Form
Order for Medical Treatment – Print Blank

Claim forms can be submitted directly online or by email, fax, or mail.
Additional documentation may be submitted by email, fax, or mail.

Email:  [email protected]

Fax:  616-649-1796

Mail:
MML WC Fund Claims
3196 Kraft Avenue, S.E., Suite 206
Grand Rapids, MI  49512-2065

COVID-19 NOTE: The Workers’ Compensation Agency Emergency Rules dated 3/30/20 and 10/16/20, which established and extended coverage for First Responder Employees diagnosed with COVID-19 between 3/30/20 and 3/20/21, have expired without further extension. Therefore, employees with COVID-19 diagnoses dated 3/21/21 or later are not eligible for coverage under presumption of work-related injury.