Michigan Multiple Carrier Redemption Form (fill-in form)

State:
Michigan
Control #:
MI-WC-113A
Format:
PDF
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Description

Multiple Carrier Redemption Form (fill-in form)

The Michigan Multiple Carrier Redemption Form (fill-in form) is a form used by Michigan residents to claim a refund on their insurance premiums. This form is available in two types: the standard form and the premium-only form. The standard form is used to claim a refund on both premiums and benefits while the premium-only form is used to claim a refund on premiums only. This form allows Michigan residents to submit multiple insurance carriers’ information at once. It requires the insured to provide their name, address, date of birth, Social Security Number, and other information. Additionally, the form also requires the insured to provide information about the insurance carriers they have used and the policies they have purchased. The form also allows the insured to request a refund on all or part of their premiums. Upon completion, the insured must submit the form to the Michigan Department of Insurance and Financial Services.

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FAQ

Ing to Michigan law, a person can stay on workers' comp for their entire lifetime. Medical treatment should be covered indefinitely provided it is reasonable, necessary, and related.

Unfortunately, it is not the responsibility of the employer to keep your job while you are on Michigan workers' compensation. Your employer does not have to keep your job open and can terminate your employment at will.

After an injury or illness occurs, your employer must: Provide a workers' compensation claim form to you within one working day a work-related injury or illness is reported. Return a completed copy of the claim form to you within one working day of receipt.

?How Long Do I Have To File A Claim The statute states that you should provide notice of injury to the employer within 90 days of the injury. However, you have up to two years from the date of injury, or the date the disability manifests itself, to file a workers' compensation claim.

In Michigan, you can get another job while on workers' comp but the amount paid for wage loss benefits will be reduced or possibly eliminated. Michigan is considered a ?wage loss? state and payments are intended to replace lost income. Getting a new job means a person does not have a wage loss anymore.

The good news is no, you do not lose your benefits if you are fired. Your workers' compensation benefits do not end whether your employer has fired you or laid you off. The law requires that you continue to receive wage loss payments and medical benefits through your former employers' insurance company.

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Michigan Multiple Carrier Redemption Form (fill-in form)