black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

ANNTONIA JACKSON

PRODUCER NON-RESIDENT

License Number:
PRN388740
Status:
First Licensure:
07/20/2021
Cancel Date:
None

Mailing:
LOUISVILLE, KY 40220
Phone:
+1 (800) 524-7024
Fax:
+1 (855) 241-3262
Email:
toni.jackson@adp.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 07/20/2021

Agency

Name Issue Date License Number Expiration Date Cancel Date
AUTOMATIC DATA PROCESSING INSURANCE AGENCY INC
07/20/2021 AGN69966

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMTRUST INSURANCE COMPANY
09/20/2022 PCF260762
EMPLOYERS ASSURANCE COMPANY
09/24/2021 PCF285638
EMPLOYERS COMPENSATION INSURANCE COMPANY
09/24/2021 PCF285639
EMPLOYERS PREFERRED INSURANCE COMPANY
09/24/2021 PCF285637
SECURITY NATIONAL INSURANCE COMPANY
09/20/2022 PCF189490
SEQUOIA INSURANCE COMPANY
09/20/2022 PCF128467
TECHNOLOGY INSURANCE COMPANY INC
09/20/2022 PCF136874
WESCO INSURANCE COMPANY
09/20/2022 PCF49735

Authority

Description Issue Date Termination Date Status
CASUALTY 07/20/2021 Active
PROPERTY 07/20/2021 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
19777865

Other Addresses

Address Type
1 ADP BLVD
ROSELAND, NJ 07068-1728
Office

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: 05/20/2025 12:38:59 AM