black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

GROHS SCHRAGER HAMPSON AVIATION INSURANCE LLC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN370773
Status:
First Licensure:
12/10/2020
Cancel Date:
None
Renewal Date:
04/01/2025

Street Location:
288 CHRISTIAN ST STE 12
OXFORD, CT 06478-1038
Mailing:
288 CHRISTIAN ST STE 12
OXFORD, CT 06478-1038
Phone:
+1 (203) 262-1552
Fax:
+1 (203) 262-1556
Email:
tammy@planeinsurance.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 12/10/2020 04/01/2025

Employer

Name Issue Date License Number Expiration Date Cancel Date
INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA
01/12/2021 PCF482
MITSUI SUMITOMO INSURANCE COMPANY OF AMERICA
10/06/2021 PCF82584
MITSUI SUMITOMO INSURANCE USA INC
10/06/2021 PCF1019
NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH PA
01/12/2021 PCF527
OLD REPUBLIC INSURANCE COMPANY
11/15/2023 PCF543
US SPECIALTY INSURANCE COMPANY
12/23/2020 PCF31516

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
DAVID B. HAMPSON
12/10/2020 PRN178350

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
DAVID B. HAMPSON PRN178350

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
19609215

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: 05/19/2024 11:33:18 PM