black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

HOTEL INSURANCE GROUP

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN465724
Status:
First Licensure:
10/03/2023
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
1491 POLARIS PKWY STE 222 PMB 222
COLUMBUS, OH 43240-2041
Mailing:
1491 POLARIS PKWY STE 222 PMB 222
COLUMBUS, OH 43240-2041
Phone:
+1 (704) 900-0620
Email:
info@hotelinsgrp.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 10/03/2023 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
EMPLOYERS ASSURANCE COMPANY
10/03/2023 PCF285638
EMPLOYERS COMPENSATION INSURANCE COMPANY
10/03/2023 PCF285639
EMPLOYERS PREFERRED INSURANCE COMPANY
10/03/2023 PCF285637

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
ANDREW J. MIELAK
10/03/2023 PRN338926

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
ANDREW J. MIELAK PRN338926

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
19553124

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: 10/21/2025 04:51:50 AM