black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

AMERICAN FRANCHISE SPECIALIST AGENCY INC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN75675
Status:
First Licensure:
01/16/2001
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
273 WALT WHITMAN RD STE 341 PMB 341
HUNTINGTON STATION, NY 11746-4149
Mailing:
273 WALT WHITMAN RD STE 341 PMB 341
HUNTINGTON STATION, NY 11746-4149
Phone:
+1 (631) 271-2535
Fax:
+1 (631) 271-2918
Email:
jan@afsainc.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 01/16/2001 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
ACE FIRE UNDERWRITERS INSURANCE COMPANY
11/20/2007 PCF43 02/21/2014
ACE PROPERTY & CASUALTY INSURANCE COMPANY
11/20/2007 PCF44 02/21/2014
AMGUARD INSURANCE COMPANY
01/11/2018 PCF51460
EMPLOYERS ASSURANCE COMPANY
03/26/2018 PCF285638 09/21/2023
EMPLOYERS COMPENSATION INSURANCE COMPANY
03/26/2018 PCF285639 09/21/2023
EMPLOYERS PREFERRED INSURANCE COMPANY
03/26/2018 PCF285637 09/21/2023
MOUNT VERNON FIRE INSURANCE COMPANY
03/27/2012 PCF83792 02/06/2020
PACIFIC EMPLOYERS INSURANCE COMPANY
11/20/2007 PCF546 02/21/2014
US SPECIALTY INSURANCE COMPANY
04/22/2003 PCF31516 01/07/2016
WESTCHESTER FIRE INSURANCE COMPANY
08/14/2007 PCF335 01/01/2011
WESTCHESTER FIRE INSURANCE COMPANY
11/18/2010 PCF177973 02/21/2014

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
JANICE CAVANAUGH TETI
01/16/2001 PRN27201

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
JANICE CAVANAUGH TETI PRN27201

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
1983989

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: 05/25/2025 10:59:02 PM