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Michigan Insurer's Notice of Issuance of Policy (fill-in form)

State:
Michigan
Control #:
MI-WC-400
Format:
PDF
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Description

Insurer's Notice of Issuance of Policy (fill-in form)
The Michigan Insurer's Notice of Issuance of Policy (fill-in form) is a document used by insurance companies to notify the insured of the issuance of a policy. The form is used to provide details about the policy, such as the policy number, the effective date, the expiration date, and the premium amount. It also includes a description of the coverage provided by the policy and any exclusions or limitations that may apply. There are two types of Michigan Insurer's Notice of Issuance of Policy (fill-in form): an Automobile Notice of Issuance of Policy and a Health Notice of Issuance of Policy. The Automobile Notice of Issuance of Policy includes the make and model of the vehicle, the Vehicle Identification Number (VIN) and the type of coverage provided. The Health Notice of Issuance of Policy includes the name of the insured, the type of coverage provided, the deductible and the co-payment amounts. Both forms must be completed and signed by both the insurer and the insured.

The Michigan Insurer's Notice of Issuance of Policy (fill-in form) is a document used by insurance companies to notify the insured of the issuance of a policy. The form is used to provide details about the policy, such as the policy number, the effective date, the expiration date, and the premium amount. It also includes a description of the coverage provided by the policy and any exclusions or limitations that may apply. There are two types of Michigan Insurer's Notice of Issuance of Policy (fill-in form): an Automobile Notice of Issuance of Policy and a Health Notice of Issuance of Policy. The Automobile Notice of Issuance of Policy includes the make and model of the vehicle, the Vehicle Identification Number (VIN) and the type of coverage provided. The Health Notice of Issuance of Policy includes the name of the insured, the type of coverage provided, the deductible and the co-payment amounts. Both forms must be completed and signed by both the insurer and the insured.

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Form WC-400 utilizes Optical Character Recognition (OCR) to scan data. Instant access to fillable Microsoft Word or PDF forms.Minimize the risk of using outdated forms and eliminate rejected fillings. A form is considered approved if the director fails to act within 30 days after its submittal under this section. Insurance brokers are NOT authorized to issue it.) Please note that the carrier or licensed agent can fill out the form with limited info from the insured. OWCP's Federal Employees Program has made a variety of forms available online. These forms are only available in PDF format. You can complete some forms online, while you can download and print all others. Comprehensive health insurance plan, workers' compensation coverage, and coverage limited to a specified disease or illness. TIP. The NFIP does not recognize binders.

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Michigan Insurer's Notice of Issuance of Policy (fill-in form)