TO:              All Interested Persons

FROM:        Craig R. Petersen, Deputy Director

SUBJECT:   Proof of Claim/Reliance Insurance Co.

The Michigan Property & Casualty Guaranty Association is responsible for handling “covered claims” on behalf of insolvent carriers. In order to secure any potential claim you may have in the future, you must file a proof of claim form with the Liquidator (listed below) for the insolvent insurance company within the required timeframe.   We recommend that you complete the proof of claim form even if you are not currently receiving medical treatment or weekly wage loss benefits for your claimed work-related injury. 

You will need to contact the Liquidator to request a proof of claim form at the address or telephone number listed below:

Statutory Liquidator of Reliance Insurance Co.
P. O. Box 13527
Philadelphia, PA 19101-3527
Telephone: (215) 864-4000

You must complete and sign this form and return it to the above address by December 31, 2003.  On the form you need to specify the date of the injury and the claim number assigned to your claim by the insolvent insurance carrier.  You should send a copy of the completed and signed proof of claim form to the Michigan Property & Casualty Guaranty Association at the address listed below:

Michigan Property & Casualty

  Guaranty Association

P.O. Box 531266

Livonia, MI  48153-1266

                        Telephone:     (734) 542-1547

IMPORTANT: Failure to complete the proof of claim form within the required timeframe will result in a denial of any future claim.