black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JACQUELYN GAYL ROMA

PRODUCER NON-RESIDENT

License Number:
PRN420503
Status:
Active
First Licensure:
06/08/2022
Cancel Date:
None

Mailing:
MUSKEGON, MI 49442
Phone:
+1 (803) 361-7059
Fax:
+1 (803) 361-7059
Email:
jgroma39@gmail.com

History
License Type Start Date End Date
PRODUCER NON-RESIDENT 06/08/2022

Agency

None.

Employer
Name Issue Date License Number Expiration Date Cancel Date
ACUITY A MUTUAL INSURANCE COMPANY
 07/26/2022 PCF155357 05/23/2023
ALLIED INSURANCE COMPANY OF AMERICA
 03/12/2023 PCF216138
ALLIED PROPERTY AND CASUALTY INSURANCE COMPANY
 03/12/2023 PCF223935
AMCO INSURANCE COMPANY
 03/12/2023 PCF223938
AMERICAN STRATEGIC INSURANCE CORP
 06/05/2023 PCF258492
DEPOSITORS INSURANCE COMPANY
 03/12/2023 PCF223940
FARMERS CASUALTY INSURANCE COMPANY
 08/20/2025 PCF895
FARMERS DIRECT PROPERTY AND CASUALTY INSURANCE COMPANY
 08/20/2025 PCF267721
FARMERS PROPERTY AND CASUALTY INSURANCE COMPANY
 08/20/2025 PCF714
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
 05/30/2023 PCF445
NATIONWIDE AGRIBUSINESS INSURANCE COMPANY
 03/12/2023 PCF151937
NATIONWIDE ASSURANCE COMPANY
 03/12/2023 PCF38952
NATIONWIDE GENERAL INSURANCE COMPANY
 03/12/2023 PCF30
NATIONWIDE INSURANCE COMPANY OF AMERICA
 03/12/2023 PCF422
NATIONWIDE MUTUAL INSURANCE COMPANY
 03/12/2023 PCF32
NATIONWIDE PROPERTY & CASUALTY INSURANCE COMPANY
 03/12/2023 PCF151089
PROGRESSIVE NORTHERN INSURANCE COMPANY
 05/30/2023 PCF51006
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
 05/30/2023 PCF27738

Authority
Description Issue Date Termination Date Status
CASUALTY 06/08/2022 Active
PROPERTY 06/08/2022 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
2514650

Other Addresses
Address Type
2690 CHESAPEAKE DR APT 102
MUSKEGON, MI 49442-4474
 Office

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: 10/27/2025 01:15:34 PM