MAIPF
Form for Bulletin No. 159
Lines of Insurance
Bulletin 159
|
Form to Complete by Hand
Please Complete by December 30, 2005
To place business in the Michigan Automobile Insurance Placement Facility, agents must be licensed as a resident or non-resident agent by a company that writes auto casualty insurance in Michigan.
To update our records in this changing marketplace, we are requesting that you indicate which lines of insurance your company currently writes in Michigan.
Your Company Name:
Select Company Name
Ace American Insurance Company
Ace Fire Underwriters Ins. Company
Ace Property and Casualty Ins. Company
Acuity, A Mutual Insurance Company
Aegis Security Insurance Company
AIG Centenial Insurance Company
AIU Insurance Company
Alea North American Ins. Company
Allied Property and Casualty Ins. Co.
Allstate Indemnity Company
Allstate Insurance Company
Allstate Property and Casualty Ins. Co.
Amco Insurance Company
American and Foreign Insurance Company
American Alternative Insurance Corp.
American Bankers Ins. Co. of FL
American Casualty Co. of Reading PA
American Country Insurance Company
American Economy Insurance Company
American Employers Insurance Company
American Family Home Ins. Company
American Federation Ins. Company
American Fellowship Mutual Ins. Co.
American Fire and Casualty Company
American General Indemnity Company
American Guarantee and Liab. Ins. Co.
American Hardware Mutual Ins. Co
American Home Assurance Company
American Insurance Company
American International Ins. Co.
American International South Ins. Company
American Modern Home Insurance Co.
American Protection Insurance Company
American Reliable Insurance Company
American Select Insurance Company
American States Insurance Company
American Zurich Insurance Company
Amerisure Insurance Company
Amerisure Mutual Insurance Company
Amex Assurance Company
AMICA Mutual Insurance Company
Arch Insurance Company
Argonaut Great Central Insurance Company
Argonaut Insurance Company
Associated Indemnity Corp.
Assurance Company of America
Athena Assurance Company
Atlantic Insurance Company
Atlantic Mutual Insurance Company
Auto Club Group Insurance Company
Auto Club Insurance Association
Auto-Owners Insurance Company
AXA RE Prop and Casualty Ins. Company
Balboa Insurance Company
Bancinsure, Inc
Bituminous Casualty Corporation
Bituminous Fire and Marine Ins. Co.
Bristol West Insurance Company
Brotherhood Mutual Insurance Company
Carolina Casualty Ins Company
Centennial Insurance Company
Central Mutual Insurance Company
Charter Oak Fire Insurance Company
Cherokee Insurance Company
Chicago Insurance Company
Church Mutual Insurance Company
Cincinnati Insurance Company
Citizens Insurance Co. of America
Clarendon National Insurance Company
Colonial American Cas and Surety Company
Commerce and Industry Ins. Company
Connecticut Indemnity Company
Consolidated Insurance Company
Constitution Insurance Company
Continental Casualty Company
Coregis Insurance Company
Crum and Forster Indemnity Company
CUMIS Insurance Society, Inc.
Daimler Chrysler Ins. Company
Dairyland Insurance Company
Discover Prop and Cas Ins. Company
Electric Insurance Company
Elevators Mutual Insurance Company
Emcasco Insurance Company
Empire Fire and Marine Ins. Company
Employers Fire Insurance Company
Employers Ins. of Wausau a Mut. Company
Employers Mutual Casualty Company
Esurance Insurance Company
Everest National Insurance Company
Fairmont Insurance Company
Farm Bureau General Ins. Co. of MI
Farm Bureau Mutual Ins. Co. of Michigan
Farmers Insurance Exchange
Farmland Mutual Ins. Company
Federal Insurance Company
Federated Mutual Insurance Company
Federated Rural Electric Insurance Corp.
Federated Service Insurance Company
Fidelity and Deposit Co. of Maryland
Fidelity and Guaranty Ins. Company
Fidelity and Guaranty Ins. Undwrs. Inc.
Fire and Casualty Ins. Co. of Connecticut
Fireman's Fund Insurance Company
First Liberty Insurance Corporation
First National Ins. Co. of America
First NonProfit Insurance Company
Florists' Mutual Insurance Company
Foremost Insurance Company
Founders Insurance Company of Michigan
Frankenmuth Mutual Insurance Company
Fremont Mutual Insurance Company
GEICO Indemnity Company
General Casualty Co. of Wisconsin
General Insurance Company of America
Genesis Insurance Company
Glens Falls Insurance Company
Globe Indemnity Company
GMAC Insurance Company Online Inc
Grange Insurance Company of Michigan
Granite State Insurance Company
Great American Assurance Company
Great American Insurance Company
Great American Insurance Company of NY
Great Lakes Casualty Ins. Company
Great Midwest Insurance Company
Great Northern Insurance Company
Great West Casualty Company
Greenwich Insurance Company
Guaranty National Insurance Company
Guideone Mutual Insurance Company
Gulf Insurance Company
Hamilton Mutual Ins. Co of Cincinnati
Hanover Insurance Company
Harco National Insurance Company
Harleysville Insurnace Company
Harleysville Lake States Ins. Company
Hartford Accident and Indemnity Company
Hartford Casualty Ins. Company
Hartford Fire Insurance Company
Hartford Ins. Co. of the Midwest
Hartford Underwriters Ins. Co.
Hastings Mutual Insurance Company
Home Owners Insurance Company
Horace Mann Insurance Company
Hudson Insurance Company
Illinois National Insurance Co.
Indemnity Ins. Co. of North America
Indiana Insurance Company
Indiana Lumbermens Mutual Ins. Co.
Insurance Company of North America
Insurance Company of the State of PA
Insurance Corporation of Hanover
Insurance Corp. of NY
Integon National Insurance Company
Interstate Fire and Casualty Company
Intrepid Insurance Company
Lancer Insurance Company
Liberty Insurance Corp.
Liberty Mutual Fire Insurance Company
Liberty Mutual Insurance Company
Lincoln General Insurance Company
LM General Insurance Company
LM Property and Casualty Ins. Company
Lumbermens Mutual Casualty Company
Lumbermens Underwriting Alliance
Lyndon Property Insurance Company
Markel American Insurance Company
Markel Insurance Company
Maryland Casualty Company
Massachusetts Bay Insurance Company
MEEMIC Insurance Company
Member Select Insurance Company
Merastar Insurance Company
Merchants Mutual Insurance Company
Meritplan Insurance Company
Metropolitan DRT Prop and Cas Ins. Company
Metropolitan General Insurance Company
Metropolitan Group Prop and Casualty
Metropolitan Prop and Cas. Ins. Co.
MIC General Insurance Company
MIC Property and Cas. Ins. Corp.
Michigan Insurance Company
Michigan Millers Mutual Insurance Co.
Mid-Century Insurance Company
Mitsui Sumitomo Ins. Company of America
Mitsui Sumitomo Insurance USA Inc
Modern Service Insurance Company
Monroe Guaranty Insurance Company
Motors Insurance Corporation
Mutual Service Casualty Insurance Co.
National American Insurance Company
National Ben-Franklin Ins. Co. of Illinois
National Casualty Company
National Farmers Union P and C
National Fire Ins. Co. of Hartford
National General Insurance Company
National Indemnity Company
National Interstate Ins. Company
National Liability and Fire Ins. Company
National Union Fire Ins. Co. Pitts.
Nationwide Agribusiness Ins. Company
Nationwide Mutual Fire Ins. Company
Nationwide Mutual Insurance Company
Nationwide Prop. and Casualty Ins. Co.
Netherlands Insurance Company
New Hampshire Insurance Company
NipponKOA Ins. Co. Ltd. US Branch
North American Elite Insurance Company
North American Specialty Ins. Co.
North Pointe Insurance Company
North River Insurance Company
Northern Ins. Co. of New York
Northern Mutual Insurance Company
Northland Casualty Company
Northland Insurance Company
Ohio Casualty Insurance Company
Ohio Farmers Insurance Company
Old Republic Insurance Company
OneBeacon America Ins. Company
OneBeacon Insurance Company
Pacific Employers Insurance Company
Pacific Indemnity Company
Pacific Specialty Ins. Company
Partners Mutual Ins. Company
Peerless Insurance Company
Penn Millers Insurance Company
Pennsylvania Lumbermens Mutual Ins.
Pennsylvania Manufacturers Assoc. Ins. Co.
Pharmacists Mutual Insurance Company
Philadelphia Indemnity Ins. Co.
Phoenix Insurance Company
Pioneer State Mutual Insurance Company
Progressive MI Insurance Company
Progressive Specialty Insurance Company
Property and Cas. Ins. Co. of Hartford
Protective Insurance Company
QBE Insurance Corporation
Quanta Indemnity Company
Ranger Insurance Company
Regent Insurance Company
Republic Western Insurance Company
Republic-Franklin Insurance Company
RLI Insurance Company
Royal Indemnity Company
Royal Insurance Company of America
Safeco Ins. Co. of America
Safeco Ins. Co. of Illinois
Safeguard Insurance Company
Scottsdale Indemnity Company
Secura Insurance A Mutual Company
Secura Supreme Insurance Company
Security Ins. Company of Hartford
Selective Insurance Company of SC
Selective Ins. Co. of the Southeast
Seneca Insurance Company
Sentry Insurance a Mutual Company
Sentry Select Insurance Company
Sirius America Insurance Company
Sompo Japan Ins. Co. of America
Southern Michigan Insurance Company
Specialty National Ins. Company
St Paul Fire and Marine Ins. Company
St Paul Guardian Insurance Company
St Paul Mercury Insurance Company
St Paul Protective Insurance Company
Standard Fire Insurance Company
Star Insurance Company
State Auto Mutual Insurance Company
State Auto Prop and Casualty Ins.
State Farm Fire and Casualty Company
State Farm Mutual Automobile Ins. Co.
State National Insurance Company Inc.
Stonington Insurance Company
Stratford Insurance Company
Teachers Insurance Company
The Insurance Company
TIG Insurance Company
Titan Indemnity Company
Titan Insurance Company
Tokio Marine and Fire Ins. Co., US BR
Transcontinental Ins. Company
Transguard Ins. Co. of America Inc.
Transportation Insurance Company
Travelers Indemnity Company
Travelers Ind. Co. of America
Travelers Ind. Co. of CT
Travelers Property Casualty Co of America
Truck Insurance Exchange
Trumbull Insurance Company
Twin City Fire Ins. Company
Ulico Casualty Company
United Financial Casualty Company
United Services Auto Assoc.
United States F and G Company
United States Fire Insurance Company
Unitrin Direct Insurance Company
Unitrin Property and Casualty Company
Universal Underwriters Insurance Company
USAA Cas. Insurance Company
Utica Mutual Insurance Company
Valley Forge Insurance Company
Vanliner Insurance Company
Vigilant Insurance Company
Virginia Surety Company
Warner Insurance Company
Wausau Business Insurance Company
Wausau Underwriters Ins. Company
West American Insurance Company
Westchester Fire Insurance Company
Westfield Insurance Company
Westport Insurance Corp.
Wolverine Mutual Insurance Company
Yosemite Insurance Company
Zurich American Insurance Company
Zurich American Ins. Co. of IL
Date:
Your Name:
Your Title:
Phone Number:
E-mail Address:
Private Passenger Auto (Liability & Physical Damage)
Yes
No
Commercial Auto (Liability & Physical Damage)
Yes
No
Currently writing in Michigan?
Yes
No
Other -- Please indicate which line(s):
Submit one form for each company.
If you have any problems with this form,
please call 734.464.1100 x 222 or
send an
e-mail message
.
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