black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

REGINA MARIE JASAK

PRODUCER NON-RESIDENT

License Number:
PRN185911
Status:
First Licensure:
12/29/2010
Cancel Date:
None

Mailing:
LUDLOW, MA 01056
Phone:
+1 (877) 834-9607
Fax:
+1 (877) 834-9607
Email:
regina@reginajasak.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 12/29/2010

Agency

Name Issue Date License Number Expiration Date Cancel Date
REGINA JASAK INDEPENDENT INS INC
01/26/2016 AGN263361

Employer

Name Issue Date License Number Expiration Date Cancel Date
ALLIED INSURANCE COMPANY OF AMERICA
03/18/2021 PCF216138 02/10/2022
ALLIED PROPERTY AND CASUALTY INSURANCE COMPANY
03/18/2021 PCF223935 02/10/2022
AMCO INSURANCE COMPANY
03/18/2021 PCF223938 02/10/2022
THE AUTOMOBILE INSURANCE COMPANY OF HARTFORD, CONNECTICUT
06/14/2018 PCF659 08/07/2019
THE CHARTER OAK FIRE INSURANCE COMPANY
06/22/2011 PCF403 09/24/2013
CITIZENS INSURANCE COMPANY OF AMERICA
04/16/2014 PCF937 10/29/2015
DEPOSITORS INSURANCE COMPANY
03/18/2021 PCF223940 02/10/2022
FARMINGTON CASUALTY COMPANY
06/22/2011 PCF995 09/24/2013
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
06/29/2011 PCF445
MAIN STREET AMERICA ASSURANCE COMPANY
03/18/2011 PCF997 07/23/2024
MAIN STREET AMERICA PROTECTION INSURANCE COMPANY
04/21/2016 PCF235440 07/23/2024
MASSACHUSETTS BAY INSURANCE COMPANY
04/16/2014 PCF505 10/29/2015
MIDVALE INDEMNITY COMPANY
09/19/2022 PCF79410 07/23/2024
NATIONWIDE AGRIBUSINESS INSURANCE COMPANY
03/18/2021 PCF151937 02/10/2022
NATIONWIDE ASSURANCE COMPANY
03/18/2021 PCF38952 02/10/2022
NATIONWIDE GENERAL INSURANCE COMPANY
03/18/2021 PCF30 02/10/2022
NATIONWIDE INSURANCE COMPANY OF AMERICA
03/18/2021 PCF422 02/10/2022
NATIONWIDE MUTUAL FIRE INSURANCE COMPANY
03/18/2021 PCF31 02/10/2022
NATIONWIDE MUTUAL INSURANCE COMPANY
03/18/2021 PCF32 02/10/2022
NATIONWIDE PROPERTY & CASUALTY INSURANCE COMPANY
03/18/2021 PCF151089 02/10/2022
NGM INSURANCE COMPANY
03/18/2011 PCF86 07/23/2024
THE PHOENIX INSURANCE COMPANY
06/22/2011 PCF557 09/24/2013
THE PHOENIX INSURANCE COMPANY
06/14/2018 PCF557 08/07/2019
PROGRESSIVE NORTHERN INSURANCE COMPANY
10/01/2021 PCF51006
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
10/01/2021 PCF27738
THE STANDARD FIRE INSURANCE COMPANY
06/22/2011 PCF584 09/24/2013
THE STANDARD FIRE INSURANCE COMPANY
06/14/2018 PCF584 08/07/2019
TRAVELERS CASUALTY AND SURETY COMPANY
06/22/2011 PCF348 09/24/2013
TRAVELERS CASUALTY INSURANCE COMPANY OF AMERICA
06/22/2011 PCF935 09/24/2013
TRAVELERS COMMERCIAL CASUALTY COMPANY
06/22/2011 PCF83507 09/24/2013
THE TRAVELERS HOME AND MARINE INSURANCE COMPANY
06/14/2018 PCF56556 08/07/2019
THE TRAVELERS INDEMNITY COMPANY OF AMERICA
06/22/2011 PCF585 09/24/2013
THE TRAVELERS INDEMNITY COMPANY OF CONNECTICUT
06/22/2011 PCF435 09/24/2013
THE TRAVELERS INDEMNITY COMPANY
06/22/2011 PCF602 09/24/2013
TRAVELERS PERSONAL INSURANCE COMPANY
10/01/2020 PCF201268
TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA
06/22/2011 PCF711 09/24/2013

Authority

Description Issue Date Termination Date Status
CASUALTY 12/29/2010 Active
HEALTH 12/29/2010 Active
PROPERTY 12/29/2010 Active

Responsible For

Name License Number
REGINA JASAK INDEPENDENT INS INC AGN263361

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
5407323

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: 10/12/2025 06:21:58 PM