black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

POLLY INSURANCE AGENCY, LLC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN269202
Status:
First Licensure:
06/04/2016
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
2300 ST GEORGE RD
WILLISTON, VT 05495-8184
Mailing:
2300 ST GEORGE RD
WILLISTON, VT 05495-8184
Phone:
+1 (802) 655-9000
Fax:
+1 (802) 655-5321
Email:
agencylicensing@dealerpolicyinsurance.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 06/04/2016 04/01/2027

Alias, DBA or Trade Name

Name
DEALER POLICY INSURANCE AGENCY

Employer

Name Issue Date License Number Expiration Date Cancel Date
ACADIA INSURANCE COMPANY
04/27/2017 PCF35064
ACUITY A MUTUAL INSURANCE COMPANY
10/28/2021 PCF155357
ALLIED INSURANCE COMPANY OF AMERICA
07/30/2019 PCF216138
ALLIED PROPERTY AND CASUALTY INSURANCE COMPANY
07/30/2019 PCF223935
ALLMERICA FINANCIAL ALLIANCE INSURANCE COMPANY
02/25/2021 PCF75617
ALLMERICA FINANCIAL BENEFIT INSURANCE COMPANY
02/25/2021 PCF145893
ALLSTATE FIRE AND CASUALTY INSURANCE COMPANY
02/26/2019 PCF864
ALLSTATE INDEMNITY COMPANY
02/26/2019 PCF522
ALLSTATE INSURANCE COMPANY
02/26/2019 PCF354
ALLSTATE PROPERTY AND CASUALTY INSURANCE COMPANY
02/26/2019 PCF84066
AMCO INSURANCE COMPANY
07/30/2019 PCF223938
AMERICAN ECONOMY INSURANCE COMPANY
04/22/2021 PCF363 12/10/2021
AMERICAN ECONOMY INSURANCE COMPANY
12/15/2021 PCF363 11/10/2023
AMERICAN ECONOMY INSURANCE COMPANY
01/06/2025 PCF363
AMERICAN FAMILY HOME INSURANCE
03/03/2025 PCF201383
AMERICAN STRATEGIC INSURANCE CORP
07/03/2019 PCF258492
ARCH INSURANCE COMPANY
07/29/2024 PCF62719
THE AUTOMOBILE INSURANCE COMPANY OF HARTFORD, CONNECTICUT
12/05/2016 PCF659 07/18/2018
THE AUTOMOBILE INSURANCE COMPANY OF HARTFORD, CONNECTICUT
07/09/2019 PCF659
BRISTOL WEST INSURANCE COMPANY
04/09/2018 PCF78370
CASCO INDEMNITY COMPANY
11/07/2016 PCF921
THE CHARTER OAK FIRE INSURANCE COMPANY
01/21/2019 PCF403 07/08/2020
CITIZENS INSURANCE COMPANY OF AMERICA
07/11/2017 PCF937
COMMERCE INSURANCE COMPANY (THE)
01/05/2017 PCF53427 04/08/2022
COMMERCE INSURANCE COMPANY (THE)
10/03/2022 PCF53427 07/01/2023
CONCORD GENERAL MUTUAL INSURANCE COMPANY
06/02/2017 PCF416
CONTINENTAL WESTERN INSURANCE COMPANY
04/27/2017 PCF673
COUNTRYWAY INSURANCE COMPANY
05/12/2022 PCF98
DAIRYLAND INSURANCE COMPANY
11/28/2017 PCF721
DEPOSITORS INSURANCE COMPANY
07/30/2019 PCF223940
EMPLOYERS ASSURANCE COMPANY
11/06/2020 PCF285638
EMPLOYERS COMPENSATION INSURANCE COMPANY
11/06/2020 PCF285639
EMPLOYERS PREFERRED INSURANCE COMPANY
11/06/2020 PCF285637
ENCOMPASS INSURANCE COMPANY OF AMERICA
08/14/2020 PCF90705
FARMERS CASUALTY INSURANCE COMPANY
04/23/2019 PCF895 02/03/2024
FARMERS DIRECT PROPERTY AND CASUALTY INSURANCE COMPANY
04/14/2021 PCF267721 02/03/2024
FARMERS PROPERTY AND CASUALTY INSURANCE COMPANY
03/01/2017 PCF714 02/03/2024
FARMINGTON CASUALTY COMPANY
01/21/2019 PCF995 07/08/2020
FIDELITY AND GUARANTY INSURANCE COMPANY
05/02/2023 PCF832
FIREMEN'S INSURANCE COMPANY OF WASHINGTON DC
04/27/2017 PCF35141
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
06/23/2016 PCF445
FRANKENMUTH INSURANCE COMPANY
12/26/2017 PCF83684 04/17/2024
GEICO CASUALTY COMPANY
09/10/2024 PCF971
GEICO INDEMNITY COMPANY
09/10/2024 PCF423
GENERAL INSURANCE COMPANY OF AMERICA
11/10/2023 PCF447
GOVERNMENT EMPLOYEES INSURANCE COMPANY
09/10/2024 PCF451
GREEN MOUNTAIN INSURANCE COMPANY INC
06/02/2017 PCF73
THE HANOVER AMERICAN INSURANCE COMPANY
02/25/2021 PCF197298
THE HANOVER INSURANCE COMPANY
07/11/2017 PCF712
HARLEYSVILLE INSURANCE COMPANY
01/03/2025 PCF129870
HARLEYSVILLE PREFERRED INSURANCE COMPANY
01/03/2025 PCF128998
HARLEYSVILLE WORCESTER INSURANCE COMPANY
01/03/2025 PCF908
MAIN STREET AMERICA ASSURANCE COMPANY
11/03/2017 PCF997
MAIN STREET AMERICA PROTECTION INSURANCE COMPANY
11/03/2017 PCF235440
MASSACHUSETTS BAY INSURANCE COMPANY
07/11/2017 PCF505
MIDVALE INDEMNITY COMPANY
09/17/2020 PCF79410
MMG INSURANCE COMPANY
11/02/2016 PCD5
NATIONWIDE AGRIBUSINESS INSURANCE COMPANY
07/30/2019 PCF151937
NATIONWIDE ASSURANCE COMPANY
05/03/2021 PCF38952
NATIONWIDE GENERAL INSURANCE COMPANY
11/26/2019 PCF30
NATIONWIDE INSURANCE COMPANY OF AMERICA
05/03/2021 PCF422
NATIONWIDE MUTUAL FIRE INSURANCE COMPANY
11/26/2019 PCF31 01/01/2023
NATIONWIDE MUTUAL INSURANCE COMPANY
07/30/2019 PCF32
NATIONWIDE PROPERTY & CASUALTY INSURANCE COMPANY
05/03/2021 PCF151089
NETHERLANDS INSURANCE COMPANY
12/21/2018 PCF827 05/09/2024
NEW ENGLAND GUARANTY INSURANCE COMPANY INC
08/29/2018 PCF87 12/14/2018
NGM INSURANCE COMPANY
11/03/2017 PCF86
NORTHERN SECURITY INSURANCE COMPANY INC
09/15/2017 PCF36
OHIO CASUALTY INSURANCE COMPANY
11/14/2022 PCF73059
OHIO SECURITY INSURANCE COMPANY
10/27/2023 PCF200581
PATRIOT INSURANCE COMPANY
12/26/2017 PCD208274 12/29/2023
PATRIOT LIFE INSURANCE COMPANY
12/26/2017 LHF43811 12/29/2023
PEERLESS INSURANCE COMPANY
12/21/2018 PCF548
THE PHOENIX INSURANCE COMPANY
12/05/2016 PCF557 07/18/2018
THE PHOENIX INSURANCE COMPANY
07/09/2019 PCF557
PROGRESSIVE NORTHERN INSURANCE COMPANY
06/02/2018 PCF51006
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
06/29/2018 PCF27738
PROPERTY & CASUALTY INSURANCE COMPANY OF HARTFORD
10/31/2019 PCF47445
PROVIDENCE MUTUAL FIRE INSURANCE COMPANY
11/05/2018 PCF562
SAFECO NATIONAL INSURANCE COMPANY
12/21/2018 PCF248658 11/10/2023
SAFECO NATIONAL INSURANCE COMPANY
12/07/2023 PCF248658
ST. PAUL FIRE AND MARINE INSURANCE COMPANY
01/21/2019 PCF575 07/08/2020
ST. PAUL FIRE AND MARINE INSURANCE COMPANY
04/04/2023 PCF575
ST. PAUL GUARDIAN INSURANCE COMPANY
01/21/2019 PCF701 07/08/2020
ST. PAUL MERCURY INSURANCE COMPANY
01/21/2019 PCF576 07/08/2020
THE STANDARD FIRE INSURANCE COMPANY
12/05/2016 PCF584
TRAVELERS CASUALTY AND SURETY COMPANY
01/21/2019 PCF348 07/08/2020
TRAVELERS CASUALTY INSURANCE COMPANY OF AMERICA
01/21/2019 PCF935 07/08/2020
TRAVELERS COMMERCIAL CASUALTY COMPANY
01/21/2019 PCF83507 07/08/2020
THE TRAVELERS HOME AND MARINE INSURANCE COMPANY
12/05/2016 PCF56556
THE TRAVELERS INDEMNITY COMPANY OF AMERICA
01/21/2019 PCF585 07/08/2020
THE TRAVELERS INDEMNITY COMPANY OF CONNECTICUT
01/21/2019 PCF435 07/08/2020
THE TRAVELERS INDEMNITY COMPANY
12/13/2018 PCF602 07/08/2020
TRAVELERS PERSONAL INSURANCE COMPANY
10/22/2018 PCF201268
TRAVELERS PERSONAL SECURITY INSURANCE COMPANY
10/08/2024 PCF201269
TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA
12/13/2018 PCF711
TRI STATE INSURANCE COMPANY OF MINNESOTA
04/27/2017 PCF146321
TWIN CITY FIRE INSURANCE COMPANY
07/24/2018 PCF963
UNION INSURANCE COMPANY
04/27/2017 PCF141739
UNION MUTUAL FIRE INSURANCE COMPANY
08/29/2018 PCF95
UNITED OHIO INSURANCE COMPANY
11/07/2016 PCF192494
UNITRIN SAFEGUARD INSURANCE COMPANY
11/06/2018 PCF167010 03/15/2023
VERMONT ACCIDENT INSURANCE COMPANY INC
06/02/2017 PCF883
VERMONT MUTUAL INSURANCE COMPANY
09/15/2017 PCF37

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
SAUL NICOLAS ALVARADO
10/17/2024 PRN462022
JESSICA ANGEL
04/07/2021 PRN379804
JERRI BURNS
11/02/2020 PRN85433
ANISSA CABRERA
06/17/2024 PRN434682
MICHAEL S. CARPENTER
07/20/2020 PRN309537
ANA KAREN CARRILLO
08/02/2023 PRN458148
MARIO CHAVEZ
10/17/2024 PRN461874
CHRISTOPHER WAYNE CHENEVERT
03/24/2025 PRN145212
PHARIN KELLY COLLINS
08/13/2020 PRN358765
TAYLOR JOHN COLLINS
07/20/2020 PRN318512
AARON A. CONNER
09/07/2022 PRN306737
STEVEN DEGREE
08/02/2019 PRN335468
IRASEMA DELGADILLO SANCHEZ
04/25/2023 PRN449588
JEFF A. DION
07/20/2020 PRN290171
BARBARA J. DONNELLY
07/20/2020 PRN293150
FRED DOUCE
10/17/2024 PRN374650
ERIC J. FITCHETT MR
10/21/2022 PRN434707
BERNARD C. FITZPATRICK III
07/20/2020 PRN317281
HUNTER FOREHAND
07/20/2020 PRN334649
DAVID T. HEATH
09/07/2022 PRN317586
JAKE HORNING
09/07/2022 PRN229937
JUAN HUESCA
02/19/2025 PRN478552
TESSA L. HUNTER
09/07/2022 PRN317587
MIA JONES
08/02/2024 PRN436612
RAYNE KIEFFER
05/14/2024 PRN396425
SEAN H. KINDLON
07/20/2020 PRN309455
CASSANDRA LEE
02/12/2024 PRN423362
MARCO LOPEZ
06/17/2024 PRN433849
RACHEL MARINO
08/02/2023 PRN458411
JEFFREY S. MONGEON
06/04/2016 PRN268869
WILBER MORETA
04/22/2025 PRN435906
IVAN MURRY
11/11/2020 PRN281113
SUSAN V. O BRIEN
07/20/2020 PRN338338
KATHY ONEAL
01/14/2022 PRN407653
CHRISTOPHER MICHAEL OXENDINE
09/12/2024 PRN353067
RUBEN PALACIOS MONTES
08/02/2023 PRN458416
STEPHEN B. POGGE
09/07/2022 PRN247225
ZACHARY PURCE
08/22/2023 PRN323103
NICOLE RASPANTINI
02/19/2025 PRN435735
JAY PAUL RAVEDE
08/02/2023 PRN458488
CODY EZEKIEL REID
10/21/2022 PRN434709
BRITTNEY SHAYLENE RITCHEY
04/22/2025 PRN476663
TREMAINE WESLEY ROBERSON
09/07/2022 PRN312115
NICOLE SHERISE ROGERS
03/21/2022 PRN411018
CARLOS F. SALAZAR
03/24/2025 PRN462256
THOMAS L. SCHECHER
09/07/2022 PRN422353
JASON TODD SEEMAN
10/21/2022 PRN434710
JOSHUA SLOANE
08/07/2023 PRN458489
STEPHANY SOLIS
10/17/2024 PRN424406
MICHAEL SPRINGER
11/01/2024 PRN279574
MEGAN C. THIBAULT
07/20/2020 PRN323099
JENNIFER MARIE VALENTINO
08/02/2024 PRN383705
NATHALIE MARIE WALSH
02/12/2024 PRN336719
BOBBY WHITTLE
04/22/2025 PRN500937
ERICA HEATHER WIDMER
06/16/2022 PRN420621
WEILI YUH
07/20/2020 PRN324389

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
JEFFREY S. MONGEON PRN268869

Contacts

Type Contact
PRODUCER LICENSING CONTACT JUDY LINTON
JUDY LINTON
2300 ST GEORGE RD
2300 ST GEORGE RD
WILLISTON, VT 05495-7433
Phone: +1 (802) 655-9000
Email: jlinton@polly.co

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
17821561

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: 05/13/2025 06:57:26 PM