R 408.41
R 408.41 Notice of insurance.
Cite as Mich. Admin. Code R 408.41
Rule 11. (1) Every notice of issuance of a workers' disability compensation
insurance policy must be reported to the agency on form WC-400, or its electronic
equivalent, insurer's notice of issuance of policy. If the employer is a partnership, the
notice must state the names and addresses of all the partners. If the employer is doing
business under an assumed name, the notice must state the assumed name and each
Michigan location covered. If the employer is a corporation doing business through a
number of divisions, the notice must state the names of all the divisions of the
corporation. The agency shall be notified when any insurance company receives a change
of address of an insured.
(2) A form WC-403, or its electronic equivalent, insurer’s notice of name or address
change, shall be filed when an employer is updating, adding, or deleting information
related to a business name, address, or division. Any changes must be specific to the
federal identification number noted on the form. Changes to business entities under
different federal identification numbers will require separate forms for each number.