black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

ACCIDENT FUND INSURANCE COMPANY OF AMERICA

One or more of the licenses listed below were subject to license/disciplinary action. Details regarding each action can be found below under the affected license.

INSURANCE COMPANY

License Number:
PCF92566
Status:
First Licensure:
02/03/2003
Cancel Date:
None
Renewal Date:
08/10/2026
NAIC Code:
10166

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 02/03/2003 08/10/2026

Employee

Name Issue Date License Number Expiration Date Cancel Date
ALLIANT INSURANCE SERVICES INC
06/18/2021 AGN91433
HOLMES MURPHY & ASSOCIATES LLC
10/21/2008 AGN47963
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
PATRICK E. WILLIAMS
03/23/2005 PRN96426

Supervised Entity

None.

Authority

Description Issue Date Termination Date Status
WORKERS COMPENSATION 02/03/2003 Active

Contacts

Type Contact
WORKERS COMPENSATION CLAIMS NELLIE OSOWSKI
ACCIDENT FUND INSURANCE COMPANY OF AMERICA
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
3 CHASE AVE
AUGUSTA, ME 04330-4525
Phone: +1 (855) 316-8944
Email: info@ctadvantage.com

License/Disciplinary Action

Case Action Taken Date
RIRS-1478 Regulatory Action 05/10/2005
RIRS-1499 Consent Order 07/25/2005

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
10166

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: 01/28/2026 04:42:25 AM