black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

LISA M. COUGHLAN

PRODUCER RESIDENT

License Number:
PRR41064
Status:
Active
First Licensure:
12/19/1994
Cancel Date:
None
Renewal Date:
05/31/2026

Continuing Education:
Required by 05/31/2026
Hours Required:
Ethics:
3
Total Required:
24
Hours Acquired:
Ethics:
0
Total Acquired:
49

Mailing:
BOSTON, MA 02110
Phone:
+1 (617) 880-1500
Fax:
+1 (617) 880-1600
Email:
license@lockton.com

History
License Type Start Date End Date
PRODUCER RESIDENT 08/29/2023 05/31/2026
*** NOT ACTIVE *** 09/01/2018 08/28/2023
PRODUCER RESIDENT 12/19/1994 08/31/2018

License Suspension
Start Date End Date
09/01/2018 09/07/2018

Agency
Name Issue Date License Number Expiration Date Cancel Date
CHAMPOUX INSURANCE GROUP
 05/18/2015 AGR62519 04/23/2018
CLARK INSURANCE
 12/19/1994 AGR8150 11/26/1997
DESMOND & PAYNE INC
 10/05/2007 AGR2206 04/25/2012
OMNI UNDERWRITING MANAGERS LLC
 06/29/2000 AGR68774 09/09/2003
PAQUIN & CARROLL INC
 03/20/2006 AGR3379 07/10/2007

Employer
Name Issue Date License Number Expiration Date Cancel Date
ACADIA INSURANCE COMPANY
 09/25/2007 PCF35064 04/25/2012
ACADIA INSURANCE COMPANY
 06/22/2015 PCF35064 12/27/2017
ALLMERICA FINANCIAL ALLIANCE INSURANCE COMPANY
 05/15/2008 PCF75617 04/30/2012
ALLMERICA FINANCIAL ALLIANCE INSURANCE COMPANY
 05/21/2012 PCF75617 10/29/2015
ALLMERICA FINANCIAL BENEFIT INSURANCE COMPANY
 05/15/2008 PCF145893 04/30/2012
ALLMERICA FINANCIAL BENEFIT INSURANCE COMPANY
 05/21/2012 PCF145893 09/07/2018
ALLMERICA FINANCIAL BENEFIT INSURANCE COMPANY
 08/29/2023 PCF145893
AMERICAN AUTOMOBILE INSURANCE COMPANY
 04/07/2011 PCF356 05/04/2012
AMERICAN CASUALTY COMPANY OF READING PENNSYLVANIA
 09/16/2000 PCF358 01/12/2004
AMERICAN ECONOMY INSURANCE COMPANY
 08/09/2011 PCF363 04/26/2012
AMERICAN ECONOMY INSURANCE COMPANY
 03/27/2015 PCF363 09/07/2018
AMERICAN FIRE AND CASUALTY COMPANY
 03/27/2015 PCF200822 09/07/2018
AMERICAN FIRE AND CASUALTY COMPANY
 08/29/2023 PCF200822 02/22/2024
AMERICAN GUARANTEE & LIABILITY INSURANCE COMPANY
 03/27/2024 PCF366
AMERICAN HOME ASSURANCE COMPANY
 03/06/2008 PCF367 09/07/2018
AMERICAN HOME ASSURANCE COMPANY
 08/29/2023 PCF367
AMERICAN STATES INSURANCE COMPANY
 08/09/2011 PCF377 04/26/2012
AMERICAN STATES INSURANCE COMPANY
 03/27/2015 PCF377 09/07/2018
AMERICAN ZURICH INSURANCE COMPANY
 06/13/2006 PCF914 05/02/2012
AMERICAN ZURICH INSURANCE COMPANY
 03/27/2024 PCF914
AMGUARD INSURANCE COMPANY
 09/11/2007 PCF51460 05/09/2012
ASSURANCE COMPANY OF AMERICA
 09/05/2007 PCF651 05/02/2012
THE AUTOMOBILE INSURANCE COMPANY OF HARTFORD, CONNECTICUT
 10/19/2000 PCF659 09/17/2003
THE AUTOMOBILE INSURANCE COMPANY OF HARTFORD, CONNECTICUT
 10/19/2007 PCF659 05/09/2012
BRIGHTHOUSE LIFE INSURANCE COMPANY
 12/27/2001 LHF277 10/31/2005
BRISTOL WEST INSURANCE COMPANY
 08/20/2015 PCF78370 09/07/2018
CAMBRIDGE MUTUAL FIRE INSURANCE COMPANY
 12/08/2004 PCF396 04/26/2012
CAMBRIDGE MUTUAL FIRE INSURANCE COMPANY
 10/19/2016 PCF396 09/07/2018
CAMBRIDGE MUTUAL FIRE INSURANCE COMPANY
 08/29/2023 PCF396
CASCO INDEMNITY COMPANY
 09/07/2007 PCF921 04/12/2012
CASCO INDEMNITY COMPANY
 05/18/2016 PCF921 05/31/2017
THE CHARTER OAK FIRE INSURANCE COMPANY
 10/19/2000 PCF403 09/17/2003
THE CHARTER OAK FIRE INSURANCE COMPANY
 05/12/2006 PCF403 07/16/2007
THE CHARTER OAK FIRE INSURANCE COMPANY
 10/19/2007 PCF403 05/09/2012
THE CHARTER OAK FIRE INSURANCE COMPANY
 04/21/2015 PCF403 03/16/2018
CITIZENS INSURANCE COMPANY OF AMERICA
 02/23/2005 PCF937 04/30/2012
CITIZENS INSURANCE COMPANY OF AMERICA
 05/21/2012 PCF937 09/07/2018
CITIZENS INSURANCE COMPANY OF AMERICA
 08/29/2023 PCF937
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY
 09/05/2007 PCF72568 05/02/2012
COMMERCE AND INDUSTRY INSURANCE COMPANY
 03/06/2008 PCF413 09/07/2018
COMMERCE AND INDUSTRY INSURANCE COMPANY
 08/29/2023 PCF413
CONCORD GENERAL MUTUAL INSURANCE COMPANY
 10/22/2007 PCF416 06/13/2013
CONCORD GENERAL MUTUAL INSURANCE COMPANY
 05/26/2015 PCF416 07/06/2017
CONTINENTAL CASUALTY COMPANY
 09/16/2000 PCF420 01/12/2004
CONTINENTAL WESTERN INSURANCE COMPANY
 09/25/2007 PCF673 04/25/2012
CONTINENTAL WESTERN INSURANCE COMPANY
 06/22/2015 PCF673 12/27/2017
DORCHESTER MUTUAL INSURANCE COMPANY
 09/26/2007 PCF426 08/27/2013
EMPLOYERS INSURANCE COMPANY OF WAUSAU
 01/10/2011 PCF434 09/07/2018
EMPLOYERS INSURANCE COMPANY OF WAUSAU
 08/29/2023 PCF434 02/22/2024
EXCELSIOR INSURANCE COMPANY
 10/25/2004 PCF46786 05/27/2010
EXCELSIOR INSURANCE COMPANY
 03/27/2015 PCF46786 09/07/2018
EXCELSIOR INSURANCE COMPANY
 08/29/2023 PCF46786 02/22/2024
FARMINGTON CASUALTY COMPANY
 05/12/2006 PCF995 07/16/2007
FARMINGTON CASUALTY COMPANY
 10/19/2007 PCF995 12/05/2009
FARMINGTON CASUALTY COMPANY
 04/21/2015 PCF995 03/16/2018
FEDERAL INSURANCE COMPANY
 11/13/2007 PCF439 04/25/2012
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
 09/05/2007 PCF868 05/02/2012
FIDELITY AND GUARANTY INSURANCE COMPANY
 09/18/2000 PCF832 10/12/2003
FIDELITY AND GUARANTY INSURANCE UNDERWRITERS INC.
 09/18/2000 PCF441 10/12/2003
FIREMANS FUND INSURANCE COMPANY
 04/07/2011 PCF443 05/04/2012
FIREMEN'S INSURANCE COMPANY OF WASHINGTON DC
 09/25/2007 PCF35141 04/25/2012
FIREMEN'S INSURANCE COMPANY OF WASHINGTON DC
 06/22/2015 PCF35141 12/27/2017
FIRST LIBERTY INSURANCE CORPORATION
 01/10/2011 PCF31779 09/07/2018
FIRST LIBERTY INSURANCE CORPORATION
 08/29/2023 PCF31779 02/22/2024
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
 10/07/2013 PCF445 09/07/2018
FOREMOST PROPERTY AND CASUALTY INSURANCE COMPANY
 10/07/2013 PCF37337 06/04/2018
FOREMOST SIGNATURE INSURANCE COMPANY
 10/07/2013 PCF176307 06/04/2018
FRANKENMUTH INSURANCE COMPANY
 12/16/2008 PCF83684 04/11/2012
FRANKENMUTH INSURANCE COMPANY
 03/02/2015 PCF83684 05/01/2018
GENERAL INSURANCE COMPANY OF AMERICA
 08/09/2011 PCF447 04/26/2012
GENERAL INSURANCE COMPANY OF AMERICA
 03/27/2015 PCF447 09/07/2018
GENERAL INSURANCE COMPANY OF AMERICA
 08/29/2023 PCF447 02/22/2024
GRANITE STATE INSURANCE COMPANY
 03/06/2008 PCF452 09/07/2018
GRANITE STATE INSURANCE COMPANY
 08/29/2023 PCF452
GREAT AMERICAN INSURANCE COMPANY
 02/05/2003 PCF764 10/21/2003
GREAT FALLS INSURANCE COMPANY
 06/15/2012 PCD185974 11/30/2015
GREAT NORTHERN INSURANCE COMPANY
 11/13/2007 PCF455 04/25/2012
GREEN MOUNTAIN INSURANCE COMPANY INC
 05/26/2015 PCF73 07/06/2017
THE HANOVER AMERICAN INSURANCE COMPANY
 03/11/2015 PCF197298 10/29/2015
THE HANOVER INSURANCE COMPANY
 02/23/2005 PCF712 04/30/2012
THE HANOVER INSURANCE COMPANY
 05/21/2012 PCF712 09/07/2018
THE HANOVER INSURANCE COMPANY
 08/29/2023 PCF712
HARLEYSVILLE INSURANCE COMPANY
 08/25/2008 PCF129870 04/30/2012
HARLEYSVILLE MUTUAL INSURANCE COMPANY
 08/25/2008 PCF74622 04/30/2012
HARLEYSVILLE PREFERRED INSURANCE COMPANY
 08/25/2008 PCF128998 04/30/2012
HARLEYSVILLE WORCESTER INSURANCE COMPANY
 10/05/2007 PCF908 04/30/2012
HARTFORD CASUALTY INSURANCE COMPANY
 10/18/2007 PCF967 07/07/2008
HARTFORD FIRE INSURANCE COMPANY
 10/28/2008 PCF464 01/08/2010
HARTFORD INSURANCE COMPANY OF THE MIDWEST
 10/18/2007 PCF1021 07/07/2008
HARTFORD UNDERWRITERS INSURANCE COMPANY
 10/18/2007 PCF992 07/07/2008
INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA
 03/06/2008 PCF482 09/07/2018
INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA
 08/29/2023 PCF482
KEMPER INDEPENDENCE INSURANCE COMPANY
 11/14/2007 PCF94586 05/30/2012
LIBERTY INSURANCE CORPORATION
 01/10/2011 PCF999 09/07/2018
LIBERTY INSURANCE CORPORATION
 08/29/2023 PCF999 02/22/2024
LIBERTY MUTUAL FIRE INSURANCE COMPANY
 01/10/2011 PCF330 04/26/2012
LIBERTY MUTUAL FIRE INSURANCE COMPANY
 03/25/2015 PCF330 09/07/2018
LIBERTY MUTUAL FIRE INSURANCE COMPANY
 08/29/2023 PCF330 02/22/2024
LIBERTY MUTUAL INSURANCE COMPANY
 01/10/2011 PCF331 04/26/2012
LIBERTY MUTUAL INSURANCE COMPANY
 03/25/2015 PCF331 09/07/2018
LIBERTY MUTUAL INSURANCE COMPANY
 08/29/2023 PCF331 02/22/2024
LM INSURANCE CORPORATION
 01/10/2011 PCF31778 04/26/2012
LM INSURANCE CORPORATION
 03/25/2015 PCF31778 09/07/2018
LM INSURANCE CORPORATION
 08/29/2023 PCF31778 02/22/2024
MAIN STREET AMERICA ASSURANCE COMPANY
 10/22/2007 PCF997 05/10/2012
MAINE EMPLOYERS MUTUAL INSURANCE COMPANY
 10/20/2004 PCD35999 05/01/2012
MARYLAND CASUALTY COMPANY
 09/05/2007 PCF500 05/02/2012
MASSACHUSETTS BAY INSURANCE COMPANY
 02/23/2005 PCF505 04/30/2012
MASSACHUSETTS BAY INSURANCE COMPANY
 05/21/2012 PCF505 09/07/2018
MASSACHUSETTS BAY INSURANCE COMPANY
 08/29/2023 PCF505
MEDICAL MUTUAL INSURANCE COMPANY OF MAINE
 11/01/2004 PCD802 07/27/2009
MEDICAL PROTECTIVE COMPANY (THE)
 10/20/2001 PCF47861 08/13/2010
MEDICAL PROTECTIVE COMPANY (THE)
 12/15/2010 PCF47861 09/07/2018
MEDICAL PROTECTIVE COMPANY (THE)
 08/29/2023 PCF47861
MERRIMACK MUTUAL FIRE INSURANCE COMPANY
 10/19/2016 PCF79 09/07/2018
MERRIMACK MUTUAL FIRE INSURANCE COMPANY
 08/29/2023 PCF79
MIDDLESEX MUTUAL ASSURANCE COMPANY
 08/30/2007 PCF844 04/30/2012
MMG INSURANCE COMPANY
 10/19/2004 PCD5 05/31/2012
MOUNTAIN VALLEY INDEMNITY COMPANY
 09/21/2007 PCF48487 02/11/2009
NATIONAL FIRE INSURANCE COMPANY OF HARTFORD
 09/16/2000 PCF523 01/12/2004
NATIONAL SURETY CORPORATION
 04/07/2011 PCF689 05/04/2012
NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH PA
 03/06/2008 PCF527 09/07/2018
NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH PA
 08/29/2023 PCF527
NATIONWIDE MUTUAL INSURANCE COMPANY
 04/25/2012 PCF32 04/30/2012
NETHERLANDS INSURANCE COMPANY
 10/25/2004 PCF827 05/27/2010
NETHERLANDS INSURANCE COMPANY
 03/27/2015 PCF827 09/07/2018
NETHERLANDS INSURANCE COMPANY
 08/29/2023 PCF827 02/22/2024
NGM INSURANCE COMPANY
 10/22/2007 PCF86 05/10/2012
NORFOLK & DEDHAM MUTUAL FIRE INSURANCE COMPANY
 09/26/2007 PCF535 08/27/2013
NORGUARD INSURANCE COMPANY
 09/11/2007 PCF51459 05/09/2012
NORTH EAST INSURANCE COMPANY
 09/21/2007 PCF536 02/11/2009
NORTHERN INSURANCE COMPANY OF NEW YORK
 09/05/2007 PCF501 05/02/2012
NORTHERN SECURITY INSURANCE COMPANY INC
 10/20/2004 PCF36 06/19/2007
NORTHERN SECURITY INSURANCE COMPANY INC
 09/12/2007 PCF36 06/28/2012
OHIO CASUALTY INSURANCE COMPANY
 10/17/2007 PCF73059 04/26/2012
OHIO CASUALTY INSURANCE COMPANY
 03/27/2015 PCF73059 09/07/2018
OHIO CASUALTY INSURANCE COMPANY
 08/29/2023 PCF73059 02/22/2024
OHIO SECURITY INSURANCE COMPANY
 03/27/2015 PCF200581 09/07/2018
OHIO SECURITY INSURANCE COMPANY
 08/29/2023 PCF200581 02/22/2024
OLD DOMINION INSURANCE COMPANY
 10/22/2007 PCF146225 08/05/2013
PACIFIC INDEMNITY COMPANY
 11/13/2007 PCF547 04/25/2012
PATRIOT INSURANCE COMPANY
 09/10/2007 PCD208274 04/11/2012
PATRIOT INSURANCE COMPANY
 03/02/2015 PCD208274 05/01/2018
PATRONS OXFORD INSURANCE COMPANY
 10/01/2015 PCD7 05/14/2018
PEERLESS INDEMNITY INSURANCE COMPANY
 08/09/2011 PCF97399 04/26/2012
PEERLESS INDEMNITY INSURANCE COMPANY
 03/27/2015 PCF97399 09/07/2018
PEERLESS INSURANCE COMPANY
 10/25/2004 PCF548 05/27/2010
PEERLESS INSURANCE COMPANY
 03/27/2015 PCF548 09/07/2018
PEERLESS INSURANCE COMPANY
 08/29/2023 PCF548 02/22/2024
THE PHOENIX INSURANCE COMPANY
 10/19/2000 PCF557 09/17/2003
THE PHOENIX INSURANCE COMPANY
 05/12/2006 PCF557 07/16/2007
THE PHOENIX INSURANCE COMPANY
 10/19/2007 PCF557 05/09/2012
THE PHOENIX INSURANCE COMPANY
 04/21/2015 PCF557 03/16/2018
THE PIE INSURANCE COMPANY
 04/07/2011 PCF368 05/04/2012
PROGRESSIVE NORTHERN INSURANCE COMPANY
 10/28/2004 PCF51006 07/23/2007
PROGRESSIVE NORTHERN INSURANCE COMPANY
 10/17/2007 PCF51006 04/30/2012
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
 10/28/2004 PCF27738 07/23/2007
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
 10/17/2007 PCF27738 04/30/2012
PROSELECT INSURANCE COMPANY
 09/01/2000 PCF346 09/07/2018
PROSELECT INSURANCE COMPANY
 08/29/2023 PCF346 09/20/2024
PROVIDENCE MUTUAL FIRE INSURANCE COMPANY
 02/03/2010 PCF562 05/15/2012
SAFECO NATIONAL INSURANCE COMPANY
 09/15/2015 PCF248658 09/07/2018
SAFECO NATIONAL INSURANCE COMPANY
 08/29/2023 PCF248658 02/22/2024
SEABOARD SURETY COMPANY
 09/18/2000 PCF634 10/12/2003
SENTINEL INSURANCE COMPANY LTD
 10/18/2007 PCF84269 07/07/2008
ST. PAUL FIRE AND MARINE INSURANCE COMPANY
 09/18/2000 PCF575 10/12/2003
ST. PAUL FIRE AND MARINE INSURANCE COMPANY
 06/22/2006 PCF575 07/16/2007
ST. PAUL FIRE AND MARINE INSURANCE COMPANY
 10/19/2007 PCF575 05/09/2012
ST. PAUL GUARDIAN INSURANCE COMPANY
 09/18/2000 PCF701 10/12/2003
ST. PAUL GUARDIAN INSURANCE COMPANY
 06/22/2006 PCF701 07/16/2007
ST. PAUL GUARDIAN INSURANCE COMPANY
 10/19/2007 PCF701 05/09/2012
ST. PAUL MERCURY INSURANCE COMPANY
 09/18/2000 PCF576 10/12/2003
ST. PAUL MERCURY INSURANCE COMPANY
 06/22/2006 PCF576 07/16/2007
ST. PAUL MERCURY INSURANCE COMPANY
 10/19/2007 PCF576 05/09/2012
ST. PAUL PROTECTIVE INSURANCE COMPANY
 09/18/2000 PCF353 04/11/2003
THE STANDARD FIRE INSURANCE COMPANY
 10/19/2000 PCF584 09/17/2003
THE STANDARD FIRE INSURANCE COMPANY
 05/12/2006 PCF584 07/16/2007
THE STANDARD FIRE INSURANCE COMPANY
 10/19/2007 PCF584 05/09/2012
THE STANDARD FIRE INSURANCE COMPANY
 04/21/2015 PCF584 03/16/2018
STATE MUTUAL INSURANCE COMPANY
 05/26/2015 PCD102 07/06/2017
TRANSCONTINENTAL INSURANCE COMPANY
 09/16/2000 PCF597 01/12/2004
TRANSPORTATION INSURANCE COMPANY
 09/16/2000 PCF601 01/12/2004
TRAVELERS CASUALTY AND SURETY COMPANY
 02/13/2002 PCF348 09/17/2003
TRAVELERS CASUALTY AND SURETY COMPANY
 05/12/2006 PCF348 07/16/2007
TRAVELERS CASUALTY AND SURETY COMPANY
 10/19/2007 PCF348 05/09/2012
TRAVELERS CASUALTY AND SURETY COMPANY
 04/21/2015 PCF348 03/16/2018
TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA
 02/16/2007 PCF974 07/16/2007
TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA
 09/14/2011 PCF974 05/09/2012
TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA
 09/27/2012 PCF974 12/26/2012
TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA
 04/21/2015 PCF974 03/16/2018
TRAVELERS CASUALTY COMPANY OF CONNECTICUT
 06/06/2002 PCF31810 09/17/2003
TRAVELERS CASUALTY COMPANY OF CONNECTICUT
 10/19/2007 PCF31810 12/05/2009
TRAVELERS CASUALTY INSURANCE COMPANY OF AMERICA
 05/12/2006 PCF935 07/16/2007
TRAVELERS CASUALTY INSURANCE COMPANY OF AMERICA
 10/19/2007 PCF935 05/09/2012
TRAVELERS CASUALTY INSURANCE COMPANY OF AMERICA
 04/21/2015 PCF935 03/16/2018
TRAVELERS COMMERCIAL CASUALTY COMPANY
 02/16/2007 PCF83507 07/16/2007
TRAVELERS COMMERCIAL CASUALTY COMPANY
 10/19/2007 PCF83507 12/05/2009
TRAVELERS COMMERCIAL CASUALTY COMPANY
 04/21/2015 PCF83507 03/16/2018
TRAVELERS CONSTITUTION STATE INSURANCE COMPANY
 09/18/2000 PCF53006 10/12/2003
THE TRAVELERS HOME AND MARINE INSURANCE COMPANY
 06/18/2007 PCF56556 07/16/2007
THE TRAVELERS HOME AND MARINE INSURANCE COMPANY
 10/19/2007 PCF56556 05/09/2012
THE TRAVELERS INDEMNITY COMPANY OF AMERICA
 10/19/2000 PCF585 09/17/2003
THE TRAVELERS INDEMNITY COMPANY OF AMERICA
 05/12/2006 PCF585 07/16/2007
THE TRAVELERS INDEMNITY COMPANY OF AMERICA
 10/19/2007 PCF585 05/09/2012
THE TRAVELERS INDEMNITY COMPANY OF AMERICA
 04/21/2015 PCF585 03/16/2018
THE TRAVELERS INDEMNITY COMPANY OF CONNECTICUT
 10/19/2000 PCF435 09/17/2003
THE TRAVELERS INDEMNITY COMPANY OF CONNECTICUT
 05/12/2006 PCF435 07/16/2007
THE TRAVELERS INDEMNITY COMPANY OF CONNECTICUT
 10/19/2007 PCF435 05/09/2012
THE TRAVELERS INDEMNITY COMPANY OF CONNECTICUT
 04/21/2015 PCF435 03/16/2018
THE TRAVELERS INDEMNITY COMPANY
 10/19/2000 PCF602 09/17/2003
THE TRAVELERS INDEMNITY COMPANY
 05/12/2006 PCF602 07/16/2007
THE TRAVELERS INDEMNITY COMPANY
 10/19/2007 PCF602 05/09/2012
THE TRAVELERS INDEMNITY COMPANY
 04/21/2015 PCF602 03/16/2018
TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA
 10/19/2000 PCF711 09/17/2003
TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA
 05/12/2006 PCF711 07/16/2007
TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA
 10/19/2007 PCF711 05/09/2012
TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA
 04/21/2015 PCF711 03/16/2018
TRAVELERS PROPERTY CASUALTY INSURANCE COMPANY
 06/06/2002 PCF31808 09/17/2003
TRI STATE INSURANCE COMPANY OF MINNESOTA
 06/22/2015 PCF146321 12/27/2017
TWIN CITY FIRE INSURANCE COMPANY
 10/18/2007 PCF963 07/07/2008
UNION INSURANCE COMPANY
 06/10/2010 PCF141739 04/25/2012
UNION INSURANCE COMPANY
 06/22/2015 PCF141739 12/27/2017
UNITED FINANCIAL CASUALTY COMPANY
 08/11/2006 PCF61704 07/23/2007
UNITED FINANCIAL CASUALTY COMPANY
 10/17/2007 PCF61704 03/31/2012
UNITED OHIO INSURANCE COMPANY
 01/30/2013 PCF192494 04/11/2013
UNITED OHIO INSURANCE COMPANY
 05/18/2016 PCF192494 05/31/2017
UNITED STATES FIDELITY AND GUARANTY COMPANY
 09/18/2000 PCF608 10/12/2003
VALLEY FORGE INSURANCE COMPANY
 09/16/2000 PCF612 01/12/2004
VERMONT ACCIDENT INSURANCE COMPANY INC
 05/26/2015 PCF883 07/06/2017
VERMONT MUTUAL INSURANCE COMPANY
 10/20/2004 PCF37 06/19/2007
VERMONT MUTUAL INSURANCE COMPANY
 09/12/2007 PCF37 06/28/2012
VIGILANT INSURANCE COMPANY
 11/13/2007 PCF613 04/25/2012
WAUSAU BUSINESS INSURANCE COMPANY
 01/10/2011 PCF47449 03/31/2015
WAUSAU UNDERWRITERS INSURANCE COMPANY
 01/10/2011 PCF833 08/31/2015
WCF SELECT INSURANCE COMPANY
 04/07/2011 PCF386 05/04/2012
WEST AMERICAN INSURANCE COMPANY
 03/27/2015 PCF200576 09/07/2018
WEST AMERICAN INSURANCE COMPANY
 08/29/2023 PCF200576 02/22/2024
YORK INSURANCE COMPANY OF MAINE
 12/01/2001 PCF498 09/18/2003
YORK INSURANCE COMPANY OF MAINE
 10/22/2004 PCF498 06/07/2012
ZURICH AMERICAN INSURANCE COMPANY
 03/27/2024 PCF61397

Authority
Description Issue Date Termination Date Status
CASUALTY 08/29/2023 Active
PROPERTY 08/29/2023 Active
CASUALTY 12/19/1994 09/07/2018 Terminated
PROPERTY 12/19/1994 09/07/2018 Terminated
SURPLUS LINES 09/11/2015 09/07/2018 Terminated
SURPLUS LINES 03/20/2006 07/24/2015 Terminated

License/Disciplinary Action

None.

PRODUCER NON-RESIDENT

License Number:
PRN316508
Status:
Withdrawn/Terminated by Licensee
First Licensure:
09/07/2018
Cancel Date:
08/29/2023
Renewal Date:
08/29/2023

Mailing:
BOSTON, MA 02110
Phone:
+1 (617) 880-1500
Fax:
+1 (617) 880-1600
Email:
license@lockton.com

History
License Type Start Date End Date
PRODUCER NON-RESIDENT 09/07/2018 08/28/2023

Agency

None.

Employer
Name Issue Date License Number Expiration Date Cancel Date
ALLMERICA FINANCIAL BENEFIT INSURANCE COMPANY
 09/07/2018 PCF145893 08/29/2023
AMERICAN ECONOMY INSURANCE COMPANY
 09/07/2018 PCF363 05/28/2021
AMERICAN FIRE AND CASUALTY COMPANY
 09/07/2018 PCF200822 08/29/2023
AMERICAN HOME ASSURANCE COMPANY
 09/07/2018 PCF367 08/29/2023
AMERICAN STATES INSURANCE COMPANY
 09/07/2018 PCF377 07/09/2021
BRISTOL WEST INSURANCE COMPANY
 09/07/2018 PCF78370 07/18/2019
CAMBRIDGE MUTUAL FIRE INSURANCE COMPANY
 09/07/2018 PCF396 08/29/2023
CITIZENS INSURANCE COMPANY OF AMERICA
 09/07/2018 PCF937 08/29/2023
COMMERCE AND INDUSTRY INSURANCE COMPANY
 09/07/2018 PCF413 08/29/2023
EMPLOYERS INSURANCE COMPANY OF WAUSAU
 09/07/2018 PCF434 08/29/2023
EXCELSIOR INSURANCE COMPANY
 09/07/2018 PCF46786 08/29/2023
FIRST LIBERTY INSURANCE CORPORATION
 09/07/2018 PCF31779 08/29/2023
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
 09/07/2018 PCF445 07/18/2019
GENERAL INSURANCE COMPANY OF AMERICA
 09/07/2018 PCF447 08/29/2023
GRANITE STATE INSURANCE COMPANY
 09/07/2018 PCF452 08/29/2023
THE HANOVER INSURANCE COMPANY
 09/07/2018 PCF712 08/29/2023
INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA
 09/07/2018 PCF482 08/29/2023
LIBERTY INSURANCE CORPORATION
 09/07/2018 PCF999 08/29/2023
LIBERTY MUTUAL FIRE INSURANCE COMPANY
 09/07/2018 PCF330 08/29/2023
LIBERTY MUTUAL INSURANCE COMPANY
 09/07/2018 PCF331 08/29/2023
LM INSURANCE CORPORATION
 09/07/2018 PCF31778 08/29/2023
MASSACHUSETTS BAY INSURANCE COMPANY
 09/07/2018 PCF505 08/29/2023
MEDICAL PROTECTIVE COMPANY (THE)
 09/07/2018 PCF47861 08/29/2023
MERRIMACK MUTUAL FIRE INSURANCE COMPANY
 09/07/2018 PCF79 08/29/2023
NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH PA
 09/07/2018 PCF527 08/29/2023
NETHERLANDS INSURANCE COMPANY
 09/07/2018 PCF827 08/29/2023
OHIO CASUALTY INSURANCE COMPANY
 09/07/2018 PCF73059 08/29/2023
OHIO SECURITY INSURANCE COMPANY
 09/07/2018 PCF200581 08/29/2023
PEERLESS INDEMNITY INSURANCE COMPANY
 09/07/2018 PCF97399 12/23/2021
PEERLESS INSURANCE COMPANY
 09/07/2018 PCF548 08/29/2023
PROSELECT INSURANCE COMPANY
 09/07/2018 PCF346 08/29/2023
SAFECO NATIONAL INSURANCE COMPANY
 09/07/2018 PCF248658 08/29/2023
WEST AMERICAN INSURANCE COMPANY
 09/07/2018 PCF200576 08/29/2023

Authority
Description Issue Date Termination Date Status
CASUALTY 09/07/2018 08/29/2023 Terminated
PROPERTY 09/07/2018 08/29/2023 Terminated
SURPLUS LINES 09/07/2018 07/26/2023 Terminated

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
3357163

Other Addresses
Address Type
BOSTON, MA 02110
 Office

CE Courses
Date Description Course Number Content Areas
06/05/2025 CRM - ANALYSIS OF RISK (WEBINAR) 25717
16
credits in General Education
Total:
16
02/06/2025 CRM - PRINCIPLES OF RISK MANAGEMENT (WEBINAR) 28343
16
credits in General Education
Total:
16
02/27/2024 LIFE SCIENCES 29047
1
credits in General Education
Total:
1
08/30/2023 ABC'S OF D&O: EXPOSURES & COVERAGES (WEBINAR) 27385
4
credits in General Education
Total:
4
08/30/2023 BEYOND THE CYBER POLICY (WEBINAR) 26485
4
credits in General Education
Total:
4
08/29/2023 CONTRACT & AGREEMENT ANALYSIS: BASICS (WEBINAR) 27916
4
credits in General Education
Total:
4
08/29/2023 STEERING THE BUSINESS AUTO COVERAGE FORM (WEB) 26575
4
credits in General Education
Total:
4

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: 06/15/2025 04:21:30 AM