black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

ACCIDENT FUND GENERAL INSURANCE COMPANY

INSURANCE COMPANY

License Number:
PCF130146
Status:
First Licensure:
08/08/2006
Cancel Date:
None
Renewal Date:
08/10/2025
NAIC Code:
12304

Street Location:
232 S CAPITOL AVE
LANSING, MI 48933-1572
Mailing:
PO BOX 40790
LANSING, MI 48901-7990
Phone:
+1 (517) 708-5089
Email:
laurie.martin@accidentfund.com

History

License Type Start Date End Date
INSURANCE COMPANY 08/08/2006 08/10/2025

Employee

Name Issue Date License Number Expiration Date Cancel Date
ALLIANT INSURANCE SERVICES INC
06/18/2021 AGN91433
BROWN & BROWN OF SOUTH CAROLINA INC
06/16/2021 AGN152757
THOMAS R. HELMSTETTER
02/03/2010 PRN114113
HOLMES MURPHY & ASSOCIATES LLC
10/21/2008 AGN47963
MACKINAW UNDERWRITERS INC
11/03/2023 AGN201395
MAJV1, LLC
11/14/2024 AGN353396
MARTIN & ZERFOSS INC
05/20/2008 AGN85800
THOMAS B. MCGOWAN IV
09/11/2024 PRN128298
SOLEPRO, INC
06/19/2021 AGN222324
TAB LEE VOLLRATH
03/18/2009 PRN119697

Supervised Entity

None.

Authority

Description Issue Date Termination Date Status
WORKERS COMPENSATION 08/08/2006 Active

Contacts

Type Contact
WORKERS COMPENSATION CLAIMS NELLIE OSOWSKI
ACCIDENT FUND GENERAL INSURANCE COMPANY
PO BOX 40790
LANSING, MI 48901-7990
Phone: +1 (262) 787-7818
Fax: +1 (262) 787-7819
Email: cccompliance@afhi.com
PRODUCER LICENSING CONTACT KRISTIN DOYLE
KRISTIN DOYLE
PO BOX 40790
LANSING, MI 48901-7990
Phone: +1 (517) 367-8973
Fax: +1 (517) 367-2901
Email: kristin.doyle@accidentfund.com
SERVICE OF PROCESS CT CORPORATION SYSTEM
128 STATE ST # 3
AUGUSTA, ME 04330-5630
Phone: +1 (855) 316-8944
Email: info@ctadvantage.com

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN)

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 06/24/2025 01:00:30 PM