2015 NOTICE OF DISPUTE WEBSITE SUMMARY PAGE Claims % Disputed Type
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2015 NOTICE OF DISPUTE WEBSITE SUMMARY PAGE Claims % Disputed Type
2015 NOTICE OF DISPUTE WEBSITE SUMMARY PAGE Type Total Claims Claims w/o 107's Claims w/107's % Disputed Claims Group Funds 1,758 1,576 182 10.4% Insurance Companies 10,680 9,820 860 8.1% Self-Insureds 4,088 3,798 290 7.1% Total/Average 16,526 15,194 1,332 8.1% GROUP FUND DISPUTES 1/1/15 - 12/31/15 NAME APARTMENT BUILDING MANAGEMENT GROUP FUND ASSN OF INDEPENDENT COLLEGES & UNIVERSITIES ASSOCIATED BUILDERS & CONTRACTORS OF MI FUND CONSTRUCTION ASSOCIATION OF MICHIGAN WC PLAN COUNTY ROAD ASSOCIATION HUMAN SERVICES ASSOCIATION LUMBER & BUILDING MATERIAL SUPPLIERS FUND MADSIF MARO WORKERS COMPENSATION FUND METALWORKING INDUSTRIES OF MICHIGAN WC FUND METROPOLITAN ASSN FOR IMPROVED SCHOOL LEGISLA MI MUNICIPAL LEAGUE WORKERS COMPENSATION FUND MICHIGAN ASSISTED LIVING WC FUND MICHIGAN ASSOCIATION OF AMBULANCE SERVICES MICHIGAN ASSOCIATION OF TIMBERMEN DBA MATSIF MICHIGAN BANKERS WORKERS COMPENSATION FUND MICHIGAN CLEANING FUND MICHIGAN CLUBS SELF INSURANCE FUND MICHIGAN COUNTIES WORKERS COMPENSATION FUND MICHIGAN FOOD PROCESSORS & DISTRIBUTION FUND MICHIGAN HORTICULTURE INDUSTRIES WC FUND MICHIGAN MCDONALDS OPERATORS ASSOCIATION MICHIGAN RESTAURANT & LODGING FUND MICHIGAN RETAIL HARDWARE ASSOCIATION SIWCF MIDDLE CITIES WORKERS COMPENSATION FUND NORTHWEST MICHIGAN INDUSTRIAL ASSOCIATION PROSURE FUND SCHOOL EMPLOYERS GROUP FUND SKILLED CARE WORKERS COMPENSATION FUND WEST MICHIGAN WORKERS COMPENSATION FUND TOTALS: TOTAL CLAIMS CLAIMS w/o 107's CLAIMS w/107'S % DISPUTED CLAIMS 15 8 113 13 64 46 22 91 18 39 27 345 20 112 47 4 31 6 54 26 39 29 109 16 4 8 101 326 15 10 12 8 99 13 63 37 20 85 18 26 26 336 16 106 47 4 25 5 50 19 25 24 91 16 2 8 96 275 15 9 3 0 14 0 1 9 2 6 0 13 1 9 4 6 0 0 6 1 4 7 14 5 18 0 2 0 5 51 0 1 20.0% 0.0% 12.4% 0.0% 1.6% 19.6% 9.1% 6.6% 0.0% 33.3% 3.7% 2.6% 20.0% 5.4% 0.0% 0.0% 19.4% 16.7% 7.4% 26.9% 35.9% 17.2% 16.5% 0.0% 50.0% 0.0% 5.0% 15.6% 0.0% 10.0% 1,758 1,576 182 10.4% INSURANCE CARRIER DISPUTES 1/1/15 - 12/31/15 TOTAL CLAIMS w/o 107's CLAIMS NAME A.I.U. INSURANCE COMPANY ACCIDENT FUND GENERAL INSURANCE COMPANY ACCIDENT FUND INSURANCE CO OF AMERICA ACCIDENT FUND NATIONAL INSURANCE COMPANY ACE AMERICAN INSURANCE COMPANY ACE PROPERTY & CASUALTY INSURANCE COMPANY ACIG INSURANCE COMPANY ACUITY, A MUTUAL INSURANCE COMPANY AIG PROPERTY CASUALTY COMPANY ALLIED EASTERN INDEMNITY COMPANY ALLIED INSURANCE COMPANY ALLIED PROPERTY & CASUALTY INSURANCE COMPANY ALLMERICA FINANCIAL ALLIANCE INSURANCE CO ALLMERICA FINANCIAL BENEFITS INSURANCE CO AMCO INSURANCE COMPANY AMERICAN ALTERNATIVE INSURANCE COMPANY AMERICAN CASUALTY COMPANY OF READING, PA AMERICAN COMPENSATION INSURANCE COMPANY AMERICAN HOME ASSURANCE COMPANY AMERICAN ZURICH INSURANCE COMPANY AMERISURE INSURANCE COMPANY AMERISURE MUTUAL INSURANCE COMPANY AMERISURE PARTNERS INSURANCE COMPANY AMGUARD INSURANCE COMPANY ANSUR AMERICA INSURANCE COMPANY AP SPECIALTY INSURANCE CORP ARCH INSURANCE COMPANY ARGONAUT GREAT CENTRAL INSURANCE COMPANY ARGONAUT INSURANCE COMPANY ARROWOOD INDEMNITY COMPANY ATLANTIC SPECIALTY INSURANCE COMPANY AUTO-OWNERS INSURANCE COMPANY BENCHMARK INSURANCE COMPANY BERKLEY NATIONAL INSURANCE CO BERKLEY REGIONAL INSURANCE CO BERKSHIRE HATHAWAY HOMESTATE INSURANCE CO BITCO GENERAL INSURANCE CORPORATION BITCO NATIONAL INSURANCE COMPANY BLOOMINGTON COMPENSATION INSURANCE COMPANY BROTHERHOOD MUTUAL INSURANCE COMPANY CASTLEPOINT NATIONAL INSURANCE COMPANY CENTRAL MUTUAL INSURANCE COMPANY CHARTER OAK FIRE INSURANCE COMPANY CHEROKEE INSURANCE COMPANY CHUBB INDEMNITY INSURANCE CO CHUBB NATIONAL INSURANCE COMPANY CHURCH MUTUAL INSURANCE COMPANY CINCINNATI CASUALTY COMPANY CINCINNATI INDEMNITY COMPANY CINCINNATI INSURANCE COMPANY CITIZENS INSURANCE COMPANY OF AMERICA CITIZENS INSURANCE COMPANY OF OHIO CITIZENS INSURANCE COMPANY OF THE MIDWEST COMMERCE & INDUSTRY INSURANCE COMPANY CONSOLIDATED INSURANCE COMPANY CONTINENTAL CASUALTY COMPANY CONTINENTAL INDEMNITY COMPANY CONTINENTAL INSURANCE COMPANY CONTINENTAL WESTERN INSURANCE COMPANY CRUM & FORSTER INDEMNITY COMPANY 1 405 906 194 325 1 1 191 78 32 1 7 2 2 7 2 44 63 13 110 106 148 1 7 25 1 85 2 4 1 6 253 4 1 1 78 18 4 2 16 1 1 24 53 50 3 6 13 37 75 24 17 11 26 1 21 88 2 1 4 1 of 5 1 366 802 181 307 1 1 186 76 31 1 6 1 0 7 2 42 60 11 103 99 131 1 3 25 1 81 2 3 1 6 220 3 1 1 78 17 4 2 15 0 1 22 52 44 3 6 13 37 72 17 16 9 25 1 20 87 2 1 4 CLAIMS w/107's % DISPUTED CLAIMS 0 39 104 13 18 0 0 5 2 1 0 1 1 2 0 0 2 3 2 7 7 17 0 4 0 0 4 0 1 0 0 33 1 0 0 0 1 0 0 1 1 0 2 1 6 0 0 0 0 3 7 1 2 1 0 1 1 0 0 0 0.0% 9.6% 11.5% 6.7% 5.5% 0.0% 0.0% 2.6% 2.6% 3.1% 0.0% 14.3% 50.0% 100.0% 0.0% 0.0% 4.5% 4.8% 15.4% 6.4% 6.6% 11.5% 0.0% 57.1% 0.0% 0.0% 4.7% 0.0% 25.0% 0.0% 0.0% 13.0% 25.0% 0.0% 0.0% 0.0% 5.6% 0.0% 0.0% 6.3% 100.0% 0.0% 8.3% 1.9% 12.0% 0.0% 0.0% 0.0% 0.0% 4.0% 29.2% 5.9% 18.2% 3.8% 0.0% 4.8% 1.1% 0.0% 0.0% 0.0% INSURANCE CARRIER DISPUTES 1/1/15 - 12/31/15 TOTAL CLAIMS w/o 107's CLAIMS NAME DEPOSITORS INSURANCE COMPANY DISCOVER PROPERTY & CASUALTY INSURANCE CO. EASTERN ADVANTAGE ASSURANCE COMPANY EASTERN ALLIANCE INSURANCE COMPANY ELECTRIC INSURANCE COMPANY EMCASCO INSURANCE COMPANY EMPLOYERS INSURANCE COMPANY OF WAUSAU EMPLOYERS MUTUAL CASUALTY COMPANY EVEREST NATIONAL INSURANCE COMPANY FARM BUREAU GENERAL INSURANCE COMPANY FARM BUREAU MUTUAL INSURANCE CO OF MICHIGAN FARMERS INSURANCE EXCHANGE FARMINGTON CASUALTY COMPANY FARMLAND MUTUAL INSURANCE COMPANY FCCI INSURANCE COMPANY FEDERAL INSURANCE COMPANY FEDERATED MUTUAL INSURANCE COMPANY FEDERATED RURAL ELECTRIC INSURANCE CORP. FEDERATED SERVICE INSURANCE COMPANY FIRST LIBERTY INSURANCE CORPORATION FLORISTS MUTUAL INSURANCE COMPANY FRANK WINSTON CRUM INSURANCE INC FRANKENMUTH MUTUAL INSURANCE COMPANY FREESTONE INSURANCE COMPANY FREMONT INSURANCE COMPANY GENERAL CASUALTY COMPANY OF WISCONSIN GRANGE INSURANCE COMPANY OF MICHIGAN GRANITE STATE INSURANCE COMPANY GREAT AMERICAN ALLIANCE INSURANCE CO GREAT AMERICAN ASSURANCE COMPANY GREAT AMERICAN INSURANCE CO OF NY GREAT AMERICAN INSURANCE COMPANY GREAT DIVIDE INSURANCE COMPANY GREAT MIDWEST INSURANCE COMPANY GREAT WEST CASUALTY COMPANY GUARANTEE INSURANCE COMPANY GUIDEONE MUTUAL INSURANCE COMPANY HAMILTON MUTUAL INSURANCE HAMILTON MUTUAL INSURANCE COMPANY HANOVER INSURANCE COMPANY HARLEYSVILLE INSURANCE COMPANY HARLEYSVILLE LAKE STATES INSURANCE COMPANY HARLEYSVILLE WORCESTER INSURANCE COMPANY HARTFORD ACCIDENT & INDEMNITY COMPANY HARTFORD CASUALTY INSURANCE COMPANY HARTFORD FIRE INSURANCE COMPANY HARTFORD INSURANCE COMPANY OF THE MIDWEST HARTFORD UNDERWRITERS INSURANCE COMPANY HASTINGS MUTUAL INSURANCE COMPANY ILLINOIS NATIONAL INSURANCE COMPANY IMPERIUM INSURANCE COMPANY INDEMNITY INSURANCE COMPANY OF NORTH AMERICA INDIANA INSURANCE COMPANY INSURANCE CO. OF THE STATE OF PENNSYLVANIA LIBERTY INSURANCE CORPORATION LIBERTY MUTUAL FIRE INSURANCE COMPANY LIBERTY MUTUAL INSURANCE COMPANY LM INSURANCE CORPORATION LUMBERMENS MUTUAL CASUALTY COMPANY LUMBERMENS UNDERWRITING ALLIANCE 4 1 2 9 9 110 12 15 3 146 97 1 22 3 27 49 93 1 3 4 1 1 196 1 66 3 10 22 23 2 5 3 1 3 40 61 3 0 1 64 1 40 2 132 119 61 69 39 221 39 1 291 1 50 4 12 483 98 1 13 2 of 5 4 1 1 9 9 94 12 13 3 93 60 1 17 3 27 45 87 1 3 4 1 1 188 1 65 2 10 22 23 2 4 3 1 3 38 54 3 0 1 55 1 39 2 121 107 45 62 30 208 38 1 266 1 47 4 10 449 94 0 13 CLAIMS w/107's % DISPUTED CLAIMS 0 0 1 0 0 16 0 2 0 53 37 0 5 0 0 4 6 0 0 0 0 0 8 0 1 1 0 0 0 0 1 0 0 0 2 7 0 0 0 9 0 1 0 11 12 16 7 9 13 1 0 25 0 3 0 2 34 4 1 0 0.0% 0.0% 50.0% 0.0% 0.0% 14.5% 0.0% 13.3% 0.0% 36.3% 38.1% 0.0% 22.7% 0.0% 0.0% 8.2% 6.5% 0.0% 0.0% 0.0% 0.0% 0.0% 4.1% 0.0% 1.5% 33.3% 0.0% 0.0% 0.0% 0.0% 20.0% 0.0% 0.0% 0.0% 5.0% 11.5% 0.0% #DIV/0! 0.0% 14.1% 0.0% 2.5% 0.0% 8.3% 10.1% 26.2% 10.1% 23.1% 5.9% 2.6% 0.0% 8.6% 0.0% 6.0% 0.0% 16.7% 7.0% 4.1% 100.0% 0.0% INSURANCE CARRIER DISPUTES 1/1/15 - 12/31/15 TOTAL CLAIMS w/o 107's CLAIMS NAME MANUFACTURERS ALLIANCE INSURANCE COMPANY MANUFACTURING TECHNOLOGY MUTUAL INSURANCE CO MARKEL INSURANCE COMPANY MASSACHUSETTS BAY INSURANCE COMPANY MERCHANTS PREFERRED INSURANCE COMPANY MERIDIAN SECURITY INSURANCE COMPANY MHA INSURANCE COMPANY MICHIGAN COMMERCIAL INSURANCE MUTUAL MICHIGAN INSURANCE COMPANY MICHIGAN MILLERS MUTUAL INSURANCE COMPANY MID CENTURY INSURANCE COMPANY MIDDLESEX INSURANCE COMPANY MIDWEST EMPLOYERS CASUALTY COMPANY MILWAUKEE CASUALTY INSURANCE COMPANY MITSUI SUMITOMO INSURANCE CO OF AMERICA MITSUI SUMITOMO INSURANCE USA, INC. MONROE GUARANTY INSURANCE COMPANY MOTORISTS COMMERCIAL INSURANCE COMPANY MOTORISTS MUTUAL INSURANCE COMPANY NATIONAL CASUALTY COMPANY NATIONAL FIRE INSURANCE COMPANY OF HARTFORD NATIONAL INTERSTATE INSURANCE CO OF HAWAII NATIONAL INTERSTATE INSURANCE COMPANY NATIONAL LIABILITY & FIRE, INC. NATIONAL SPECIALTY INSURANCE COMPANY NATIONAL TRUST INSURANCE COMPANY NATIONAL UNION FIRE INSURANCE COMPANY NATIONWIDE AGRIBUSINESS INSURANCE COMPANY NATIONWIDE MUTUAL INSURANCE COMPANY NATIONWIDE PROPERTY & CASUALTY INSURANCE CO NEW HAMPSHIRE INSURANCE COMPANY NEW YORK MARINE & GENERAL INSURANCE COMPANY NGM INSURANCE COMPANY NORGUARD INSURANCE COMPANY NORTH POINTE CASUALTY COMPANY NORTH POINTE INSURANCE COMPANY NOVA CASUALTY COMPANY OLD REPUBLIC GENERAL INSURANCE CORPORATION OLD REPUBLIC INSURANCE COMPANY PACIFIC INDEMNITY COMPANY PATRIOT GENERAL INSURANCE COMPANY PENN MILLERS INSURANCE COMPANY PENNSYLVANIA MANUFACTURERS ASSN. INSURANCE CO PENNSYLVANIA MANUFACTURERS INDEMNITY COMPANY PHARMACISTS MUTUAL INSURANCE COMPANY PHOENIX INSURANCE COMPANY PIONEER STATE MUTUAL INSURANCE COMPANY PLAZA INSURANCE COMPANY PRAETORIAN INSURANCE CO PROPERTY & CASUALTY INSURANCE CO OF HARTFORD PROTECTIVE INSURANCE COMPANY QBE INSURANCE CORPORATION REDWOOD FIRE & CASUALTY INSURANCE CO REGENT INSURANCE COMPANY RETAILERS MUTUAL INSURANCE COMPANY SAFETY NATIONAL CASUALTY CORPORATION SAMSUNG FIRE & MARINE INSURANCE COMPANY SECURA INSURANCE COMPANY SECURITY NATIONAL INSURANCE CO SELECTIVE INSURANCE CO OF SOUTH CAROLINA 3 of 5 3 184 12 4 2 4 17 31 218 73 3 12 16 1 15 15 22 1 21 2 13 18 2 1 122 16 48 26 1 2 387 2 2 16 6 54 2 14 223 11 32 1 48 6 2 40 16 16 16 6 32 67 1 1 74 107 1 77 2 34 3 170 12 4 2 4 16 28 205 73 3 10 16 1 15 14 22 1 20 2 12 17 2 1 109 14 39 26 1 2 365 2 2 8 6 53 2 14 215 10 32 1 38 6 2 35 13 15 15 6 32 66 1 1 72 100 1 75 2 34 CLAIMS w/107's % DISPUTED CLAIMS 0 14 0 0 0 0 1 3 13 0 0 2 0 0 0 1 0 0 1 0 1 1 0 0 13 2 9 0 0 0 22 0 0 8 0 1 0 0 8 1 0 0 10 0 0 5 3 1 1 0 0 1 0 0 2 7 0 2 0 0 0.0% 7.6% 0.0% 0.0% 0.0% 0.0% 5.9% 9.7% 6.0% 0.0% 0.0% 16.7% 0.0% 0.0% 0.0% 6.7% 0.0% 0.0% 4.8% 0.0% 7.7% 5.6% 0.0% 0.0% 10.7% 12.5% 18.8% 0.0% 0.0% 0.0% 5.7% 0.0% 0.0% 50.0% 0.0% 1.9% 0.0% 0.0% 3.6% 9.1% 0.0% 0.0% 20.8% 0.0% 0.0% 12.5% 18.8% 6.3% 6.3% 0.0% 0.0% 1.5% 0.0% 0.0% 2.7% 6.5% 0.0% 2.6% 0.0% 0.0% INSURANCE CARRIER DISPUTES 1/1/15 - 12/31/15 TOTAL CLAIMS w/o 107's CLAIMS NAME SELECTIVE INSURANCE CO OF THE SOUTHEAST SELECTIVE INSURANCE COMPANY OF AMERICA SELECTIVE WAY INSURANCE COMPANY SENTINEL INSURANCE COMPANY LTD SENTRY CASUALTY COMPANY SENTRY INSURANCE A MUTUAL COMPANY SENTRY SELECT INSURANCE COMPANY SOMPO JAPAN FIRE & MARINE INS CO OF AMERICA SOMPO JAPAN INSURANCE COMPANY OF AMERICA SPARTA INSURANCE COMPANY STANDARD FIRE INSURANCE COMPANY STAR INSURANCE COMPANY STARR INDEMNITY & LIABILITY CO STATE AUTO PROPERTY & CASUALTY INSURANCE CO STATE AUTOMOBILE MUTUAL INSURANCE COMPANY STATE FARM FIRE & CASUALTY COMPANY STATE FARM GENERAL INSURANCE COMPANY STATE NATIONAL INSURANCE COMPANY, INC. STONINGTON INSURANCE COMPANY SUSSEX INSURANCE COMPANY TECHNOLOGY INSURANCE COMPANY INC TOKIO MARINE & NICHIDO FIRE INSURANCE CO LTD TOKIO MARINE AMERICA INSURANCE COMPANY TOWER INSURANCE COMPANY OF NEW YORK TOWER NATIONAL INSURANCE COMPANY TRANSCONTINENTAL INSURANCE COMPANY TRANSPORT INDEMNITY COMPANY TRANSPORTATION INSURANCE COMPANY TRAVELERS CASUALTY & SURETY CO TRAVELERS CASUALTY & SURETY CO. OF AMERICA TRAVELERS CASUALTY COMPANY OF CONNECTICUT TRAVELERS CASUALTY INSURANCE CO OF AMERICA TRAVELERS COMMERCIAL CASUALTY COMPANY TRAVELERS COMMERCIAL INSURANCE COMPANY TRAVELERS INDEMNITY CO. OF CONNECTICUT TRAVELERS INDEMNITY COMPANY TRAVELERS INDEMNITY COMPANY OF AMERICA TRAVELERS INSURANCE COMPANY TRAVELERS PROPERTY CASUALTY CO OF AMERICA TRUCK INSURANCE EXCHANGE TRUMBULL INSURANCE COMPANY TWIN CITY FIRE INSURANCE COMPANY UNITED STATES FIRE INSURANCE COMPANY UNITED WISCONSIN INSURANCE COMPANY UNITED WISCONSIN INSURANCE COMPANY VALLEY FORGE INSURANCE COMPANY VANLINER INSURANCE COMPANY VIGILANT INSURANCE COMPANY WAUSAU UNDERWRITERS INSURANCE COMPANY WESCO INSURANCE COMPANY WEST BEND MUTUAL INSURANCE COMPANY WESTFIELD INSURANCE COMPANY WILLIAMSBURG NATIONAL INSURANCE COMPANY WORK FIRST CASUALTY COMPANY X L SPECIALTY INSURANCE COMPANY XL INSURANCE AMERICA INC ZENITH INSURANCE COMPANY ZURICH-AMERICAN INSURANCE CO OF ILLINOIS ZURICH-AMERICAN INSURANCE COMPANY 16 11 23 14 47 58 2 9 27 1 68 45 24 8 10 14 1 5 12 1 75 2 5 1 1 1 1 5 31 1 16 1 11 7 317 301 78 4 56 4 39 55 7 2 2 23 36 7 1 2 2 39 1 3 37 58 1 70 380 4 of 5 16 11 22 9 44 56 2 9 26 1 66 42 23 8 8 14 1 5 11 1 71 2 5 1 1 1 1 5 28 1 14 1 11 6 297 282 68 2 56 4 30 45 6 2 2 22 35 7 1 2 2 38 1 3 34 58 1 65 353 CLAIMS w/107's % DISPUTED CLAIMS 0 0 1 5 3 2 0 0 1 0 2 3 1 0 2 0 0 0 1 0 4 0 0 0 0 0 0 0 3 0 2 0 0 1 20 19 10 2 0 0 9 10 1 0 0 1 1 0 0 0 0 1 0 0 3 0 0 5 27 0.0% 0.0% 4.3% 35.7% 6.4% 3.4% 0.0% 0.0% 3.7% 0.0% 2.9% 6.7% 4.2% 0.0% 20.0% 0.0% 0.0% 0.0% 8.3% 0.0% 5.3% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 9.7% 0.0% 12.5% 0.0% 0.0% 14.3% 6.3% 6.3% 12.8% 50.0% 0.0% 0.0% 23.1% 18.2% 14.3% 0.0% 0.0% 4.3% 2.8% 0.0% 0.0% 0.0% 0.0% 2.6% 0.0% 0.0% 8.1% 0.0% 0.0% 7.1% 7.1% INSURANCE CARRIER DISPUTES 1/1/15 - 12/31/15 TOTAL CLAIMS w/o 107's CLAIMS NAME TOTALS: 10,680 5 of 5 9,820 CLAIMS w/107's % DISPUTED CLAIMS 860 8.1% SELF-INSURED DISPUTES 1/1/15 - 12/31/15 TOTAL CLAIMS w/o 107's CLAIMS NAME A B F FREIGHT SYSTEM, INC. A B M ONSITE SERVICES MIDWEST, INC A C O, INC. A D TRANSPORT EXPRESS, INC. A J M PACKAGING CORPORATION A Z AUTOMOTIVE CORPORATION ABRAHAM, S. & SONS, INC. ADAC PLASTICS, INC. AK STEEL CORPORATION ALLEGAN COUNTY BOARD OF COMMISSIONERS ALPENA REGIONAL MEDICAL CENTER ALRO STEEL CORPORATION ALTICOR, INC. AMERICAN NATIONAL RED CROSS AMERICAN PLASTIC TOYS, INC. ANDREWS UNIVERSITY ANN ARBOR PUBLIC SCHOOLS ANN ARBOR, CITY OF ARROW UNIFORM - TAYLOR LLC ART VAN FURNITURE, INC. ASAMA COLDWATER MANUFACTURING, INC. ASCENSION HEALTH AVON AUTOMOTIVE HOLDINGS INC AWI HOLDINGS, INC. BALKEMA EXCAVATING, INC. BATTLE CREEK SCHOOL DISTRICT, CITY OF BATTLE CREEK, CITY OF BAY CITY PUBLIC SCHOOLS BAY CITY, CITY OF BAY METROPOLITAN TRANSPORTATION AUTHORITY BAY, COUNTY OF BEAUMONT HEALTH BEAUMONT, WILLIAM HOSPITAL BENTELER AUTOMOTIVE CORPORATION BIRMINGHAM SCHOOL DISTRICT BLOOMFIELD HILLS SCHOOL DISTRICT BLUE CROSS BLUE SHIELD OF MICHIGAN BOPP-BUSCH MANUFACTURING COMPANY BOTSFORD GENERAL HOSPITAL BOUMA CORPORATION BOYNE USA, INC. BOYSVILLE OF MICHIGAN DBA HOLY CROSS CHILDREN BREMBO NORTH AMERICA, INC BRONSON HEALTHCARE GROUP, INC. BURR OAK TOOL, INC. CADILLAC CASTING, INC. CALHOUN, COUNTY OF CANTON, CHARTER TOWNSHIP OF CAPITAL AREA TRANSPORTATION AUTHORITY CASSENS CORPORATION CENTRAL MICHIGAN UNIVERSITY CHALLENGE MANUFACTURING HOLDINGS INC CHAMPION BUS, INC. CHARLEVOIX, COUNTY OF CHARTER TOWNSHIP OF SHELBY CHELSEA MILLING COMPANY CHIPPEWA COUNTY WAR MEMORIAL HOSPITAL, INC. CHIPPEWA VALLEY SCHOOLS CLARK RETIREMENT COMMUNITY CLARKSTON COMMUNITY SCHOOLS CLEVELAND-CLIFFS IRON COMPANY CLINTON, TOWNSHIP OF Page 1 of 6 3 2 1 4 8 12 7 1 1 5 13 7 1 3 1 5 3 7 2 21 5 87 6 7 4 2 10 5 4 3 19 28 108 6 1 2 8 1 5 3 2 7 1 53 3 7 3 3 3 24 3 9 1 8 3 5 3 6 2 6 1 3 3 2 1 4 8 12 6 1 0 5 13 7 1 3 1 5 3 7 1 21 5 83 5 6 4 2 10 5 3 3 18 26 101 5 1 2 8 1 4 3 2 7 1 49 3 7 3 3 3 24 3 8 1 8 3 5 3 6 2 5 1 3 CLAIMS w/107'S % DISPUTED CLAIMS 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 0 0 4 1 1 0 0 0 0 1 0 1 2 7 1 0 0 0 0 1 0 0 0 0 4 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 14.3% 0.0% 100.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 50.0% 0.0% 0.0% 4.6% 16.7% 14.3% 0.0% 0.0% 0.0% 0.0% 25.0% 0.0% 5.3% 7.1% 6.5% 16.7% 0.0% 0.0% 0.0% 0.0% 20.0% 0.0% 0.0% 0.0% 0.0% 7.5% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 11.1% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 16.7% 0.0% 0.0% SELF-INSURED DISPUTES 1/1/15 - 12/31/15 TOTAL CLAIMS w/o 107's CLAIMS NAME COCA-COLA REFRESHMENTS USA, INC. COMAU, INC. COMMERCIAL STEEL TREATING CORPORATION CONSUMERS ENERGY COMPANY CONTRACTORS STEEL COMPANY COSTCO WHOLESALE CORPORATION COVENANT MEDICAL CENTER INC. CRANBROOK EDUCATIONAL COMMUNITY, INC. CREATIVE FOAM CORPORATION CRITTENTON HOSPITAL D T E ENERGY COMPANY DANIEL L. JACOB COMPANY, INC. DART CONTAINER OF MICHIGAN LLC DEAN TRANSPORTATION, INC. DEARBORN HEIGHTS, CITY OF DEARBORN SCHOOL DISTRICT, OF THE CITY OF DEARBORN, CITY OF DELACO STEEL CORPORATION DENSO AIR SYSTEMS MICHIGAN, INC. DETROIT BOARD OF EDUCATION OF THE CITY OF DETROIT DIESEL CORPORATION DETROIT ENTERTAINMENT LLC DETROIT MEDICAL CENTER DETROIT, CITY OF DEXTER FASTENER TECHNOLOGIES, INC. DICKINSON COUNTY HEALTHCARE SYSTEM DOMESTIC LINEN SUPPLY & LAUNDRY COMPANY EAGLE ALLOY, INC. EAST LANSING, CITY OF EASTERN MICHIGAN UNIVERSITY EATON, COUNTY OF EDISON INSTITUTE DBA HENRY FORD EDWARDS BROTHERS, INC. EJ USA INC EMERGENT HEALTH PARTNERS EMMET COUNTY MEDICAL CARE FACILITY EMPIRE IRON MINING PARTNERSHIP ERVIN INDUSTRIES, INC. ESCANABA, CITY OF EVANGELICAL HOMES OF MICHIGAN F.C.S. INDUSTRIES, INC. FAIRMOUNT SANTROL LLC FARMINGTON PUBLIC SCHOOLS FAYGO BEVERAGES, INC. FCA US LLC FEDERAL EXPRESS CORPORATION FEDERATED LOGISTICS INC FEDEX FREIGHT, INC. FEDEX GROUND PACKAGE SYSTEM, INC. FERNDALE, CITY OF FERRIS STATE UNIVERSITY FISHER & COMPANY, INC. FLEXFAB HORIZONS INTERNATIONAL, INC. FLINT MASS TRANSPORTATION AUTHORITY FLINT SCHOOL DISTRICT, CITY OF FLINT, CITY OF FORD MOTOR COMPANY FRANKENMUTH BAVARIAN INN FUTURAMIC TOOL & ENGINEERING COMPANY G.A. RICHARDS COMPANY GARDEN CITY HOSPITAL GARDEN CITY, CITY OF 45 4 5 14 2 19 5 3 4 7 21 2 6 16 6 8 28 2 1 34 20 5 1 77 5 5 2 2 1 9 1 8 1 1 10 3 7 2 2 5 2 1 3 6 95 42 5 1 7 2 3 4 4 10 2 24 153 3 7 2 4 1 Page 2 of 6 42 4 4 14 2 18 4 3 4 7 20 2 5 16 6 8 28 2 0 34 19 5 1 67 5 4 2 2 1 9 0 8 1 1 9 3 7 2 2 5 2 1 3 6 68 42 4 1 7 2 3 4 4 10 2 24 140 3 7 2 4 1 CLAIMS w/107'S % DISPUTED CLAIMS 3 0 1 0 0 1 1 0 0 0 1 0 1 0 0 0 0 0 1 0 1 0 0 10 0 1 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 27 0 1 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 6.7% 0.0% 20.0% 0.0% 0.0% 5.3% 20.0% 0.0% 0.0% 0.0% 4.8% 0.0% 16.7% 0.0% 0.0% 0.0% 0.0% 0.0% 100.0% 0.0% 5.0% 0.0% 0.0% 13.0% 0.0% 20.0% 0.0% 0.0% 0.0% 0.0% 100.0% 0.0% 0.0% 0.0% 10.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 28.4% 0.0% 20.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 8.5% 0.0% 0.0% 0.0% 0.0% 0.0% SELF-INSURED DISPUTES 1/1/15 - 12/31/15 TOTAL CLAIMS w/o 107's CLAIMS NAME GENERAL MOTORS COMPANY GENESEE HEALTH SYSTEM GENESEE, COUNTY OF GILL INDUSTRIES, INC. GRAND RAPIDS PUBLIC SCHOOLS GRAND RAPIDS, CITY OF GRAND TRAVERSE BAND OF OTTAWA & CHIPPEWA INC GRAND TRAVERSE COUNTY GRAND VALLEY STATE UNIVERSITY GREAT LAKES ENERGY COOPERATIVE GREAT LAKES HOME HEALTH SERVICES INC GREDE LLC GREEKTOWN CASINO, LLC GRIFFIN BEVERAGE COMPANY GROSSE POINTE PUBLIC SCHOOL SYSTEM GROSSE POINTE WOODS, CITY OF GUARDIAN INDUSTRIES CORPORATION HAMTRAMCK, CITY OF HEALTHSOURCE SAGINAW, INC. HENRY FORD HEALTH SYSTEM HERCULES DRAWN STEEL CORPORATION HILLSDALE, COUNTY OF HOLLAND HOME HOLLYWOOD HOLDING COMPANY, LLC HOME DEPOT USA, INC. HOUGHTON COUNTY HOWELL PUBLIC SCHOOLS HUNTINGTON BANCSHARES, INC. HURON CASTING, INC. HURON VALLEY SCHOOLS INALFA ROOF SYSTEMS, INC. INGHAM COUNTY & INGHAM COUNTY MEDICAL CARE FA INTERNATIONAL INDUSTRIAL CONTRACTING CORP INTERNATIONAL PAPER COMPANY IRON COUNTY MEDICAL CARE FACILITY JACKSON, CITY OF JACKSON, COUNTY OF JOHN E. GREEN COMPANY, INC. JOHNSON CONTROLS, INC. KALAMAZOO PUBLIC SCHOOLS KALAMAZOO, CITY OF KALAMAZOO, COUNTY OF KELLY SERVICES, INC. KENT, COUNTY OF KEY PLASTICS LLC KLEIN TOOLS, INC. KNAPE & VOGT MANUFACTURING COMPANY KROGER COMPANY, DBA MICHIGAN DAIRY L & L PRODUCTS, INC. L'ANSE CREUSE PUBLIC SCHOOLS LABOR READY MIDWEST, INC. LACKS ENTERPRISES, INC. LAKE ORION COMMUNITY SCHOOLS LAKE SHORE PUBLIC SCHOOLS LAKELAND REGIONAL HEALTH SYSTEM LANSING BOARD OF WATER & LIGHT, CITY OF LANSING, CITY OF LAPEER COMMUNITY SCHOOLS LAPEER COUNTY LEFERE FORGE & MACHINE COMPANY LEVY, EDW. C. CO. LINCOLN CONSOLIDATED SCHOOLS Page 3 of 6 251 2 13 2 3 14 2 2 7 2 5 1 11 1 7 2 0 1 5 52 1 2 4 1 44 8 1 2 7 3 4 11 2 1 3 3 2 3 3 7 20 6 12 11 1 2 7 78 8 6 9 29 2 1 17 15 15 1 5 10 2 3 196 2 13 2 3 14 1 2 7 2 5 1 11 1 7 2 0 1 5 50 0 2 4 1 42 8 1 2 7 3 4 11 2 1 3 3 2 3 3 7 19 6 10 11 1 2 6 78 6 6 8 28 2 1 14 15 14 1 4 10 2 3 CLAIMS w/107'S % DISPUTED CLAIMS 55 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 2 1 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 2 0 0 0 1 0 2 0 1 1 0 0 3 0 1 0 1 0 0 0 21.9% 0.0% 0.0% 0.0% 0.0% 0.0% 50.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% #DIV/0! 0.0% 0.0% 3.8% 100.0% 0.0% 0.0% 0.0% 4.5% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 5.0% 0.0% 16.7% 0.0% 0.0% 0.0% 14.3% 0.0% 25.0% 0.0% 11.1% 3.4% 0.0% 0.0% 17.6% 0.0% 6.7% 0.0% 20.0% 0.0% 0.0% 0.0% SELF-INSURED DISPUTES 1/1/15 - 12/31/15 TOTAL CLAIMS w/o 107's CLAIMS NAME LITTLE CAESAR ENTERPRISES, INC. LIVONIA PUBLIC SCHOOLS LIVONIA, CITY OF LOUIS PADNOS IRON AND METAL COMPANY, INC. LOWE'S HOME CENTERS, INC. LUTHERAN HOMES OF MICHIGAN, INC. LUTHERAN SOCIAL SERVICES OF MICHIGAN M N P CORPORATION MAC VALVES, INC. MACOMB, COUNTY OF MACYS RETAIL HOLDINGS, INC. MADISON HEIGHTS, CITY OF MANOR CARE, INC. MANTHEI, INC. MARRIOTT INTERNATIONAL, INC. MARY FREE BED HOSPITAL & REHABILITATION CTR MASON, COUNTY OF MCLAREN HEALTH CARE CORPORATION MEBUS MANUFACTURING, INC. MEIJER COMPANIES, LTD. MELLING TOOL COMPANY MEMORIAL HOSPITAL DBA MEMORIAL HEALTHCARE MERCY MEMORIAL HOSPITAL CORPORATION METROPOLITAN HOSPITAL MGM RESORTS INTERNATIONAL MICHIGAN BELL TELEPHONE COMPANY MICHIGAN GROCERS FUND MICHIGAN STATE UNIVERSITY MICHIGAN SUGAR COMPANY MICHIGAN TECHNOLOGICAL UNIVERSITY MICHIGAN TRACTOR & MACHINERY COMPANY MIDLAND, COUNTY OF MIDMICHIGAN HEALTH MOBIS NORTH AMERICA LLC MOELLER MANUFACTURING COMPANY, INC. MONROE COUNTY ROAD COMMISSION MONROE PUBLIC SCHOOLS MONROE, CITY OF MONROE, COUNTY OF MORBARK, INC MOT ALLEV ENTERPRISES, LC MPI RESEARCH, INC. MUNSON HEALTH CARE MUSKEGON, COUNTY OF NEWCOR, INC. NEWPAGE CORPORATION NO RECORD OF COVERAGE - CONFIRMED NORDSTROM, INC. NORTH OTTAWA COMMUNITY HOSPITAL NORTHERN MICHIGAN UNIVERSITY NYX, INC. O S F HEALTHCARE SYSTEM DBA ST FRANCIS HOSP OAKLAND COMMUNITY COLLEGE OAKLAND COUNTY ROAD COMMISSION OAKLAND UNIVERSITY OAKLAND, COUNTY OF OAKWOOD HEALTHCARE, INC. OGIHARA AMERICA CORPORATION OTTAWA COUNTY ROAD COMMISSION OTTAWA, COUNTY OF P G P CORPORATION PARKER HANNIFIN CORPORATION 4 2 12 1 34 21 7 4 2 12 17 3 25 1 8 5 1 53 1 104 8 4 5 4 5 1 25 45 17 3 3 4 27 8 4 3 1 1 5 1 4 4 9 6 10 7 1 4 2 4 5 1 1 4 3 55 14 5 1 3 2 4 Page 4 of 6 4 2 12 0 34 19 7 4 2 9 17 3 22 1 6 4 1 51 1 97 8 4 4 4 4 1 20 42 17 3 2 4 27 7 4 3 1 1 5 1 4 4 9 6 8 7 1 4 2 4 4 1 1 3 3 55 13 5 1 3 1 4 CLAIMS w/107'S % DISPUTED CLAIMS 0 0 0 1 0 2 0 0 0 3 0 0 3 0 2 1 0 2 0 7 0 0 1 0 1 0 5 3 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 1 0 0 1 0 0 1 0 0 0 1 0 0.0% 0.0% 0.0% 100.0% 0.0% 9.5% 0.0% 0.0% 0.0% 25.0% 0.0% 0.0% 12.0% 0.0% 25.0% 20.0% 0.0% 3.8% 0.0% 6.7% 0.0% 0.0% 20.0% 0.0% 20.0% 0.0% 20.0% 6.7% 0.0% 0.0% 33.3% 0.0% 0.0% 12.5% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 20.0% 0.0% 0.0% 0.0% 0.0% 0.0% 20.0% 0.0% 0.0% 25.0% 0.0% 0.0% 7.1% 0.0% 0.0% 0.0% 50.0% 0.0% SELF-INSURED DISPUTES 1/1/15 - 12/31/15 TOTAL CLAIMS w/o 107's CLAIMS NAME PENNOCK HEALTH SERVICES PERFECTION BAKERIES, INC. DBA AUNT MILLIES PERRIGO, L. COMPANY PETERSON AMERICAN CORPORATION PETITPREN, INC. PILOT TRAVEL CENTERS LLC PINE REST CHRISTIAN MENTAL HEALTH SERVICES PINECREST MEDICAL CARE FACILITY PLYMOUTH-CANTON COMMUNITY SCHOOLS PONTIAC SCHOOL DISTRICT, CITY OF PORT HURON AREA SCHOOL DISTRICT PORT HURON, CITY OF PORTAGE, CITY OF PORTER HILLS PRESBYTERIAN VILLAGE PRIDGEON & CLAY, INC. PROMEDICA NORTH REGION, INC. QUALITY DAIRY COMPANY QUALITY METALCRAFT INC REDFORD UNION SCHOOLS ROCHESTER COMMUNITY SCHOOLS ROLLINS, INC. ETAL ROMAN CATHOLIC ARCHDIOCESE OF DETROIT ROMAN CATHOLIC DIOCESE OF GRAND RAPIDS ROMAN CATHOLIC DIOCESE OF LANSING ROMAN CATHOLIC DIOCESE OF SAGINAW ROSEVILLE, CITY OF ROYAL OAK, CITY OF ROYAL TECHNOLOGIES CORPORATION RUDOLPH/LIBBE COMPANIES, INC. RYDER SYSTEM, INC. SAGINAW, CITY OF SAGINAW, COUNTY OF SAINT CLAIR SHORES, CITY OF SAINT CLAIR, COUNTY OF SARATOGA COMMUNITY HOSPITAL SCHOOLCRAFT COLLEGE SEMCO ENERGY, INC. SEVERSTAL DEARBORN, LLC SHERRIFF-GOSLIN COMPANY SHERWIN-WILLIAMS COMPANY SHIAWASSEE, COUNTY OF SOUTHFIELD, CITY OF SOUTHGATE, CITY OF SPARROW, EDWARD W., HOSPITAL ASSOCIATION SPARTAN NASH COMPANY SPECTRUM HEALTH HOSPITALS STANTON DAVID J AND ASSOCIATES INC STATE OF MICHIGAN STEELCASE, INC. STERLING HEIGHTS, CITY OF STURGIS HOSPITAL, INC. SUBURBAN MOBILITY AUTHORITY FOR REGIONAL TRAN SUMMIT POLYMERS, INC. TARGET CORPORATION TAYLOR SCHOOL DISTRICT TAYLOR, CITY OF TERNES, HOWARD PACKAGING COMPANY TILDEN MINING COMPANY L.C. TRINITY HEALTH MICHIGAN TROY SCHOOL DISTRICT TYSON FOODS, INC. U S F HOLLAND, INC. Page 5 of 6 1 20 10 4 3 2 14 3 1 1 2 10 3 3 4 7 1 7 1 4 2 12 1 2 2 4 6 3 1 3 6 8 5 1 1 3 2 2 1 5 5 10 1 57 27 69 1 339 10 8 1 28 7 30 1 1 1 3 113 1 1 1 1 20 10 3 3 2 13 3 1 1 2 10 3 3 4 7 0 5 1 3 2 12 1 2 2 2 6 2 1 3 5 8 4 1 1 3 2 2 1 5 5 10 0 56 24 66 1 306 10 8 1 26 7 29 1 1 1 3 104 1 1 1 CLAIMS w/107'S % DISPUTED CLAIMS 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 1 2 0 1 0 0 0 0 0 2 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 1 3 3 0 33 0 0 0 2 0 1 0 0 0 0 9 0 0 0 0.0% 0.0% 0.0% 25.0% 0.0% 0.0% 7.1% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 100.0% 28.6% 0.0% 25.0% 0.0% 0.0% 0.0% 0.0% 0.0% 50.0% 0.0% 33.3% 0.0% 0.0% 16.7% 0.0% 20.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 100.0% 1.8% 11.1% 4.3% 0.0% 9.7% 0.0% 0.0% 0.0% 7.1% 0.0% 3.3% 0.0% 0.0% 0.0% 0.0% 8.0% 0.0% 0.0% 0.0% SELF-INSURED DISPUTES 1/1/15 - 12/31/15 TOTAL CLAIMS w/o 107's CLAIMS NAME U S FARATHANE LLC U.S. MANUFACTURING CORPORATION UNITED AIR LINES, INC. UNITED JEWISH FOUNDATION UNITED METHODIST RETIREMENT COMMUNITIES, INC. UNITED STATES STEEL CORPORATION UNIVERSITY OF MICHIGAN, THE REGENTS OF THE UTICA COMMUNITY SCHOOLS VHS OF MICHIGAN INC. W A FOOTE MEMORIAL HOSPITAL, INC. WARREN CONSOLIDATED SCHOOLS WARREN, CITY OF WASHTENAW COMMUNITY COLLEGE WASHTENAW, COUNTY OF WATERFORD SCHOOL DISTRICT WATERFORD, CHARTER TOWNSHIP OF WAYNE COUNTY AIRPORT AUTHORITY WAYNE COUNTY COMMUNITY COLLEGE WAYNE STATE UNIVERSITY WAYNE WESTLAND COMMUNITY SCHOOL DISTRICT WAYNE, CITY OF WAYNE, COUNTY OF WENDYS OF MICHIGAN WEST SHORE MEDICAL CENTER WESTERN MICHIGAN UNIVERSITY WESTLAND, CITY OF WISCONSIN ELECTRIC POWER COMPANY WISCONSIN PUBLIC SERVICE CORPORATION WOLVERINE PACKING COMPANY WRIGHT & FILIPPIS, INC. WYANDOTTE SCHOOL DISTRICT, CITY OF WYANDOTTE, CITY OF WYOMING, CITY OF YPSILANTI, CITY OF ZEHNDERS OF FRANKENMUTH, INC. TOTALS: Page 6 of 6 CLAIMS w/107'S % DISPUTED CLAIMS 6 21 1 12 3 8 98 6 62 15 4 23 3 13 11 10 6 4 6 19 3 61 3 1 15 3 1 4 4 2 5 1 8 2 6 6 20 1 12 2 7 92 6 56 14 4 23 3 13 11 10 6 3 6 18 3 61 3 0 15 2 1 4 4 1 5 1 8 2 6 0 1 0 0 1 1 6 0 6 1 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 1 0 0 0 0 0 0.0% 4.8% 0.0% 0.0% 33.3% 12.5% 6.1% 0.0% 9.7% 6.7% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 25.0% 0.0% 5.3% 0.0% 0.0% 0.0% 100.0% 0.0% 33.3% 0.0% 0.0% 0.0% 50.0% 0.0% 0.0% 0.0% 0.0% 0.0% 4,088 3,798 290 7.1%