black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

DAVID BRIAN TJALSMA

PRODUCER RESIDENT

License Number:
PRR86051
Status:
Active
First Licensure:
05/30/2002
Cancel Date:
None
Renewal Date:
09/30/2027

Continuing Education:
Required by 09/30/2027
Hours Required:
Ethics:
3
Total Required:
24
Hours Acquired:
Ethics:
0
Total Acquired:
0

Mailing:
PORTLAND, ME 04101
Phone:
+1 (207) 797-9400
Fax:
+1 (207) 523-8098
Email:
davidtjalsma@unitedinsurance.net

History
License Type Start Date End Date
PRODUCER RESIDENT 11/06/2009 09/30/2027
*** NOT ACTIVE *** 06/26/2007 11/05/2009
PRODUCER RESIDENT 05/30/2002 06/25/2007

Agency
Name Issue Date License Number Expiration Date Cancel Date
DIANE NEWMAN INSURANCE AGENCY INC
 07/02/2003 AGR60315 06/26/2007
ICT GROUP INC
 05/30/2002 AGN37074 11/05/2004
O'HEARN INSURANCE AGENCY INC
 11/06/2009 AGR54199 11/30/2016
R D JOHNSON AGENCY INC
 06/15/2018 AGR107936 09/17/2019
UIG INC
 04/23/2014 AGR123009 03/01/2017
UIG INC
 01/30/2020 AGR123009

Employer
Name Issue Date License Number Expiration Date Cancel Date
ACADIA INSURANCE COMPANY
 02/03/2020 PCF35064 05/08/2025
ACUITY A MUTUAL INSURANCE COMPANY
 07/15/2015 PCF155357 08/16/2017
ACUITY A MUTUAL INSURANCE COMPANY
 02/05/2020 PCF155357
AEGIS SECURITY INSURANCE COMPANY
 03/21/2018 PCF49874 12/13/2023
ALLIED EASTERN INDEMNITY COMPANY
 07/12/2017 PCF242683
ALLMERICA FINANCIAL ALLIANCE INSURANCE COMPANY
 10/11/2019 PCF75617
ALLMERICA FINANCIAL BENEFIT INSURANCE COMPANY
 10/11/2019 PCF145893
ALLSTATE FIRE AND CASUALTY INSURANCE COMPANY
 09/24/2019 PCF864 02/28/2020
ALLSTATE FIRE AND CASUALTY INSURANCE COMPANY
 10/20/2025 PCF864
ALLSTATE INDEMNITY COMPANY
 09/24/2019 PCF522 02/28/2020
ALLSTATE INDEMNITY COMPANY
 10/20/2025 PCF522
ALLSTATE INSURANCE COMPANY
 09/24/2019 PCF354 02/28/2020
ALLSTATE INSURANCE COMPANY
 10/20/2025 PCF354
ALLSTATE PROPERTY AND CASUALTY INSURANCE COMPANY
 09/24/2019 PCF84066 02/28/2020
ALLSTATE PROPERTY AND CASUALTY INSURANCE COMPANY
 10/20/2025 PCF84066
AMERICAN MODERN HOME INSURANCE COMPANY
 11/06/2009 PCF808 07/20/2016
AMERICAN MODERN SELECT INSURANCE COMPANY
 11/06/2009 PCF123448 07/20/2016
ANSUR AMERICA INSURANCE COMPANY
 03/06/2024 PCF95773
ASSURITY LIFE INSURANCE COMPANY
 03/26/2019 LHF179 10/19/2023
ATHOME INSURANCE COMPANY
 09/06/2005 PCF503 06/26/2007
THE AUTOMOBILE INSURANCE COMPANY OF HARTFORD, CONNECTICUT
 01/13/2005 PCF659 06/26/2007
THE AUTOMOBILE INSURANCE COMPANY OF HARTFORD, CONNECTICUT
 11/06/2009 PCF659 05/05/2014
BERKSHIRE LIFE INSURANCE COMPANY OF AMERICA
 11/25/2009 LHF804 10/13/2020
BRISTOL WEST INSURANCE COMPANY
 10/24/2017 PCF78370
CASCO INDEMNITY COMPANY
 02/01/2005 PCF921 08/01/2006
CASCO INDEMNITY COMPANY
 02/03/2020 PCF921
CITIZENS INSURANCE COMPANY OF AMERICA
 02/01/2017 PCF937
COMMERCE INSURANCE COMPANY (THE)
 07/21/2017 PCF53427 12/12/2019
CONCORD GENERAL MUTUAL INSURANCE COMPANY
 03/01/2007 PCF416 06/26/2007
CONCORD GENERAL MUTUAL INSURANCE COMPANY
 11/06/2009 PCF416 06/19/2017
CONCORD GENERAL MUTUAL INSURANCE COMPANY
 06/22/2017 PCF416 10/07/2019
CONCORD GENERAL MUTUAL INSURANCE COMPANY
 10/09/2019 PCF416
CONTINENTAL WESTERN INSURANCE COMPANY
 02/03/2020 PCF673 05/08/2025
COUNTRYWAY INSURANCE COMPANY
 02/10/2020 PCF98
DAIRYLAND INSURANCE COMPANY
 10/06/2010 PCF721 04/02/2014
DAIRYLAND INSURANCE COMPANY
 11/19/2014 PCF721 02/18/2016
DAIRYLAND INSURANCE COMPANY
 05/01/2018 PCF721
EASTERN ADVANTAGE ASSURANCE COMPANY
 07/12/2017 PCF242684
EASTERN ALLIANCE INSURANCE COMPANY
 07/12/2017 PCF242682
EXCELSIOR INSURANCE COMPANY
 01/02/2007 PCF46786 06/26/2007
FARMERS CASUALTY INSURANCE COMPANY
 04/26/2005 PCF895 06/26/2007
FARMERS CASUALTY INSURANCE COMPANY
 03/08/2021 PCF895 03/22/2021
FARMERS CASUALTY INSURANCE COMPANY
 05/17/2021 PCF895
FARMERS DIRECT PROPERTY AND CASUALTY INSURANCE COMPANY
 04/18/2025 PCF267721
FARMERS PROPERTY AND CASUALTY INSURANCE COMPANY
 04/26/2005 PCF714 06/26/2007
FARMERS PROPERTY AND CASUALTY INSURANCE COMPANY
 03/08/2021 PCF714
FIREMEN'S INSURANCE COMPANY OF WASHINGTON DC
 02/03/2020 PCF35141 05/08/2025
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
 11/06/2009 PCF445
FRANKENMUTH INSURANCE COMPANY
 02/22/2017 PCF83684 09/24/2019
FRANKENMUTH INSURANCE COMPANY
 02/05/2020 PCF83684
GREEN MOUNTAIN INSURANCE COMPANY INC
 11/06/2009 PCF73 06/19/2017
GREEN MOUNTAIN INSURANCE COMPANY INC
 06/22/2017 PCF73 10/07/2019
GREEN MOUNTAIN INSURANCE COMPANY INC
 10/09/2019 PCF73
GUARDIAN LIFE INSURANCE COMPANY OF AMERICA
 11/25/2009 LHF644 09/30/2021
THE HANOVER AMERICAN INSURANCE COMPANY
 10/11/2019 PCF197298
THE HANOVER INSURANCE COMPANY
 02/01/2017 PCF712
HARTFORD ACCIDENT & INDEMNITY COMPANY
 06/17/2002 PCF462 06/26/2007
HARTFORD CASUALTY INSURANCE COMPANY
 06/17/2002 PCF967 06/26/2007
HARTFORD FIRE INSURANCE COMPANY
 06/17/2002 PCF464 06/26/2007
HARTFORD FIRE INSURANCE COMPANY
 05/19/2010 PCF464 06/06/2013
HARTFORD INSURANCE COMPANY OF THE MIDWEST
 06/17/2002 PCF1021 06/26/2007
HARTFORD UNDERWRITERS INSURANCE COMPANY
 06/17/2002 PCF992 06/26/2007
INTEGON NATIONAL INSURANCE COMPANY
 10/20/2015 PCF310 03/15/2019
INTEGON NATIONAL INSURANCE COMPANY
 02/10/2020 PCF310
KEMPER INDEPENDENCE INSURANCE COMPANY
 05/16/2012 PCF94586 07/20/2017
MAINE EMPLOYERS MUTUAL INSURANCE COMPANY
 03/27/2020 PCD35999
MASSACHUSETTS BAY INSURANCE COMPANY
 02/01/2017 PCF505
METROPOLITAN GENERAL INSURANCE COMPANY
 04/26/2005 PCF893 06/26/2007
MIDDLESEX MUTUAL ASSURANCE COMPANY
 11/06/2009 PCF844 12/14/2016
MMG INSURANCE COMPANY
 03/02/2017 PCD5
NATIONWIDE AFFINITY INSURANCE COMPANY OF AMERICA
 07/14/2005 PCF34188 06/26/2007
NATIONWIDE ASSURANCE COMPANY
 12/28/2004 PCF38952 06/26/2007
NATIONWIDE GENERAL INSURANCE COMPANY
 05/23/2005 PCF30 06/26/2007
NATIONWIDE LIFE & ANNUITY INSURANCE COMPANY
 12/28/2004 LHF62021 06/26/2007
NATIONWIDE LIFE & ANNUITY INSURANCE COMPANY
 11/06/2009 LHF62021 07/26/2013
NATIONWIDE LIFE INSURANCE COMPANY
 12/28/2004 LHF29 06/26/2007
NATIONWIDE LIFE INSURANCE COMPANY
 11/06/2009 LHF29 07/26/2013
NATIONWIDE LIFE INSURANCE COMPANY OF AMERICA
 06/06/2007 LHF251 06/26/2007
NATIONWIDE MUTUAL FIRE INSURANCE COMPANY
 12/28/2004 PCF31 06/26/2007
NATIONWIDE MUTUAL INSURANCE COMPANY
 12/28/2004 PCF32 06/26/2007
NETHERLANDS INSURANCE COMPANY
 01/02/2007 PCF827 06/26/2007
NORTHERN INSURANCE COMPANY OF NEW YORK
 11/06/2009 PCF501 02/03/2015
NORTHERN SECURITY INSURANCE COMPANY INC
 08/19/2014 PCF36
OHIO CASUALTY INSURANCE COMPANY
 11/17/2017 PCF73059
OHIO SECURITY INSURANCE COMPANY
 01/17/2017 PCF200581
PACIFIC LIFE INSURANCE COMPANY
 08/29/2018 LHF237
PATRIOT INSURANCE COMPANY
 02/22/2017 PCD208274 09/24/2019
PATRIOT INSURANCE COMPANY
 02/05/2020 PCD208274
PATRIOT LIFE INSURANCE COMPANY
 08/20/2015 LHF43811 01/26/2017
PATRIOT LIFE INSURANCE COMPANY
 02/05/2020 LHF43811
PATRONS OXFORD INSURANCE COMPANY
 01/01/2014 PCD7 10/09/2019
PATRONS OXFORD INSURANCE COMPANY
 02/11/2020 PCD7
PEERLESS INDEMNITY INSURANCE COMPANY
 01/02/2007 PCF97399 06/26/2007
PEERLESS INSURANCE COMPANY
 01/02/2007 PCF548 06/26/2007
THE PHOENIX INSURANCE COMPANY
 12/01/2010 PCF557 05/05/2014
PROGRESSIVE NORTHERN INSURANCE COMPANY
 11/06/2009 PCF51006 10/01/2019
PROGRESSIVE NORTHERN INSURANCE COMPANY
 02/10/2020 PCF51006 04/08/2022
PROGRESSIVE NORTHERN INSURANCE COMPANY
 10/28/2022 PCF51006
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
 11/06/2009 PCF27738 10/01/2019
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
 02/10/2020 PCF27738 04/08/2022
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
 10/28/2022 PCF27738
PROVIDENCE MUTUAL FIRE INSURANCE COMPANY
 02/03/2010 PCF562 01/24/2018
PROVIDENCE MUTUAL FIRE INSURANCE COMPANY
 02/03/2020 PCF562 05/09/2023
SENTINEL INSURANCE COMPANY LTD
 05/09/2006 PCF84269 06/26/2007
SENTINEL INSURANCE COMPANY LTD
 11/06/2009 PCF84269 01/25/2012
THE STANDARD FIRE INSURANCE COMPANY
 01/13/2005 PCF584 06/26/2007
THE STANDARD FIRE INSURANCE COMPANY
 11/06/2009 PCF584 05/05/2014
THE STANDARD FIRE INSURANCE COMPANY
 03/23/2017 PCF584
STATE FARM FIRE AND CASUALTY COMPANY
 01/16/2004 PCF586 11/10/2005
STATE FARM GENERAL INSURANCE COMPANY
 01/16/2004 PCF587 11/10/2005
STATE FARM LIFE INSURANCE COMPANY
 01/16/2004 LHF25 11/10/2005
STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY
 01/16/2004 PCF588 11/10/2005
STATE MUTUAL INSURANCE COMPANY
 11/06/2009 PCD102 06/19/2017
STATE MUTUAL INSURANCE COMPANY
 06/22/2017 PCD102 10/07/2019
STATE MUTUAL INSURANCE COMPANY
 10/09/2019 PCD102
TRAVELERS CASUALTY COMPANY OF CONNECTICUT
 01/13/2005 PCF31810 06/26/2007
TRAVELERS CASUALTY COMPANY OF CONNECTICUT
 11/06/2009 PCF31810 05/05/2014
TRAVELERS CASUALTY INSURANCE COMPANY OF AMERICA
 12/07/2020 PCF935
TRAVELERS COMMERCIAL INSURANCE COMPANY
 11/06/2009 PCF31811 05/05/2014
THE TRAVELERS HOME AND MARINE INSURANCE COMPANY
 06/18/2007 PCF56556 06/26/2007
THE TRAVELERS HOME AND MARINE INSURANCE COMPANY
 11/06/2009 PCF56556 05/05/2014
THE TRAVELERS HOME AND MARINE INSURANCE COMPANY
 03/23/2017 PCF56556
THE TRAVELERS INDEMNITY COMPANY OF AMERICA
 01/13/2005 PCF585 06/26/2007
THE TRAVELERS INDEMNITY COMPANY OF AMERICA
 11/06/2009 PCF585 05/05/2014
THE TRAVELERS INDEMNITY COMPANY OF CONNECTICUT
 11/06/2009 PCF435 05/05/2014
THE TRAVELERS INDEMNITY COMPANY
 12/01/2010 PCF602 05/05/2014
TRAVELERS PERSONAL INSURANCE COMPANY
 02/14/2019 PCF201268
TRAVELERS PROPERTY CASUALTY INSURANCE COMPANY
 01/13/2005 PCF31808 06/26/2007
TRAVELERS PROPERTY CASUALTY INSURANCE COMPANY
 11/06/2009 PCF31808 05/05/2014
TRI STATE INSURANCE COMPANY OF MINNESOTA
 02/03/2020 PCF146321 05/08/2025
TWIN CITY FIRE INSURANCE COMPANY
 06/17/2002 PCF963 06/26/2007
UNION INSURANCE COMPANY
 02/03/2020 PCF141739 05/08/2025
UNION MUTUAL FIRE INSURANCE COMPANY
 10/22/2019 PCF95
UNITED FINANCIAL CASUALTY COMPANY
 11/06/2009 PCF61704 06/12/2012
UNITED OHIO INSURANCE COMPANY
 02/03/2020 PCF192494
VERMONT ACCIDENT INSURANCE COMPANY INC
 11/06/2009 PCF883 06/19/2017
VERMONT ACCIDENT INSURANCE COMPANY INC
 06/22/2017 PCF883 10/07/2019
VERMONT ACCIDENT INSURANCE COMPANY INC
 10/09/2019 PCF883
VERMONT MUTUAL INSURANCE COMPANY
 08/19/2014 PCF37
WEST AMERICAN INSURANCE COMPANY
 08/01/2018 PCF200576

Authority
Description Issue Date Termination Date Status
CASUALTY 11/06/2009 Active
HEALTH 11/06/2009 Active
LIFE 11/06/2009 Active
PROPERTY 11/06/2009 Active
LIFE AND HEALTH 01/13/2004 06/26/2007 Terminated
PROPERTY AND CASUALTY 05/30/2002 06/26/2007 Terminated

License/Disciplinary Action

None.

PRODUCER NON-RESIDENT

License Number:
PRN141454
Status:
Withdrawn/Terminated by Licensee
First Licensure:
06/26/2007
Cancel Date:
06/26/2007
Renewal Date:
06/26/2007

Mailing:
PORTLAND, ME 04101
Phone:
+1 (207) 797-9400
Fax:
+1 (207) 523-8098
Email:
davidtjalsma@unitedinsurance.net

History
License Type Start Date End Date
*** NO ACTIVE HISTORY TO DISPLAY ***

Agency
Name Issue Date License Number Expiration Date Cancel Date
DIANE NEWMAN INSURANCE AGENCY INC
 06/26/2007 AGR60315 11/06/2009
FARMERS GENERAL INSURANCE AGENCY INC
 11/05/2007 AGN72925 11/06/2009

Employer
Name Issue Date License Number Expiration Date Cancel Date
AMERICAN ECONOMY INSURANCE COMPANY
 11/30/2007 PCF363 10/09/2009
AMERICAN MODERN HOME INSURANCE COMPANY
 08/01/2007 PCF808 11/06/2009
AMERICAN MODERN SELECT INSURANCE COMPANY
 08/01/2007 PCF123448 11/06/2009
AMERICAN STATES INSURANCE COMPANY
 11/30/2007 PCF377 10/09/2009
ATHOME INSURANCE COMPANY
 06/26/2007 PCF503 10/13/2009
THE AUTOMOBILE INSURANCE COMPANY OF HARTFORD, CONNECTICUT
 06/26/2007 PCF659 11/06/2009
CONCORD GENERAL MUTUAL INSURANCE COMPANY
 06/26/2007 PCF416 11/06/2009
EXCELSIOR INSURANCE COMPANY
 06/26/2007 PCF46786 02/01/2008
FARMERS CASUALTY INSURANCE COMPANY
 06/26/2007 PCF895 08/27/2007
FARMERS PROPERTY AND CASUALTY INSURANCE COMPANY
 06/26/2007 PCF714 08/27/2007
FARMERS PROPERTY AND CASUALTY INSURANCE COMPANY
 08/30/2007 PCF714 10/06/2009
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
 09/18/2007 PCF445 11/06/2009
GENERAL INSURANCE COMPANY OF AMERICA
 11/30/2007 PCF447 10/09/2009
GREEN MOUNTAIN INSURANCE COMPANY INC
 10/06/2009 PCF73 11/06/2009
HARTFORD ACCIDENT & INDEMNITY COMPANY
 06/26/2007 PCF462 07/02/2008
HARTFORD CASUALTY INSURANCE COMPANY
 06/26/2007 PCF967 07/02/2008
HARTFORD FIRE INSURANCE COMPANY
 06/26/2007 PCF464 07/02/2008
HARTFORD INSURANCE COMPANY OF THE MIDWEST
 06/26/2007 PCF1021 07/02/2008
HARTFORD UNDERWRITERS INSURANCE COMPANY
 06/26/2007 PCF992 07/02/2008
METROPOLITAN GENERAL INSURANCE COMPANY
 06/26/2007 PCF893 08/27/2007
METROPOLITAN GENERAL INSURANCE COMPANY
 08/30/2007 PCF893 08/20/2008
MIDDLESEX MUTUAL ASSURANCE COMPANY
 10/16/2009 PCF844 11/06/2009
NATIONWIDE AFFINITY INSURANCE COMPANY OF AMERICA
 06/26/2007 PCF34188 02/26/2008
NATIONWIDE ASSURANCE COMPANY
 06/26/2007 PCF38952 02/26/2008
NATIONWIDE GENERAL INSURANCE COMPANY
 06/26/2007 PCF30 02/26/2008
NATIONWIDE LIFE & ANNUITY INSURANCE COMPANY
 06/26/2007 LHF62021 11/06/2009
NATIONWIDE LIFE INSURANCE COMPANY
 06/26/2007 LHF29 11/06/2009
NATIONWIDE LIFE INSURANCE COMPANY OF AMERICA
 06/26/2007 LHF251 05/13/2008
NATIONWIDE MUTUAL FIRE INSURANCE COMPANY
 06/26/2007 PCF31 02/26/2008
NATIONWIDE MUTUAL INSURANCE COMPANY
 06/26/2007 PCF32 02/26/2008
NETHERLANDS INSURANCE COMPANY
 06/26/2007 PCF827 02/01/2008
NORTHERN INSURANCE COMPANY OF NEW YORK
 09/18/2007 PCF501 11/06/2009
PEERLESS INDEMNITY INSURANCE COMPANY
 06/26/2007 PCF97399 02/01/2008
PEERLESS INSURANCE COMPANY
 06/26/2007 PCF548 02/01/2008
PROGRESSIVE NORTHERN INSURANCE COMPANY
 08/10/2007 PCF51006 11/06/2009
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
 08/10/2007 PCF27738 11/06/2009
SENTINEL INSURANCE COMPANY LTD
 06/26/2007 PCF84269 08/11/2008
THE STANDARD FIRE INSURANCE COMPANY
 06/26/2007 PCF584 11/06/2009
STATE MUTUAL INSURANCE COMPANY
 10/06/2009 PCD102 11/06/2009
TRAVELERS CASUALTY COMPANY OF CONNECTICUT
 06/26/2007 PCF31810 11/06/2009
TRAVELERS COMMERCIAL INSURANCE COMPANY
 08/01/2007 PCF31811 11/06/2009
THE TRAVELERS HOME AND MARINE INSURANCE COMPANY
 06/26/2007 PCF56556 11/06/2009
THE TRAVELERS INDEMNITY COMPANY OF AMERICA
 06/26/2007 PCF585 11/06/2009
THE TRAVELERS INDEMNITY COMPANY OF CONNECTICUT
 08/01/2007 PCF435 11/06/2009
TRAVELERS PROPERTY CASUALTY INSURANCE COMPANY
 06/26/2007 PCF31808 11/06/2009
TWIN CITY FIRE INSURANCE COMPANY
 06/26/2007 PCF963 07/02/2008
UNITED FINANCIAL CASUALTY COMPANY
 08/10/2007 PCF61704 11/06/2009
VERMONT ACCIDENT INSURANCE COMPANY INC
 10/06/2009 PCF883 11/06/2009

Authority
Description Issue Date Termination Date Status
LIFE AND HEALTH 06/26/2007 11/06/2009 Terminated
PROPERTY AND CASUALTY 06/26/2007 11/06/2009 Terminated

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
7279480

Other Addresses
Address Type
UNITED INSURANCE GROUP
470 FOREST AVE
PORTLAND, ME 04101-2009
 Office

CE Courses

None.

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: 11/04/2025 03:21:44 AM