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To begin e-filing the Health Insurance Claims Assessment (HICA) annual
return, please enter the account information below.

(FEIN, ME or TR Number)
Account Number
ZIP Code
Return Year
Enter the Security Code shown above:
     
NOTE: To print a copy of your HICA annual return for your records, please disable any pop-up blockers before sumbitting. If unable to print please contact the Michigan Department of Treasury at
517-636-0515 for assistance. Do not resubmit.

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