black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

AMERICAN NATIONAL LIFE INSURANCE COMPANY OF NEW YORK

INSURANCE COMPANY

License Number:
LHF164
Status:
First Licensure:
02/15/1954
Cancel Date:
None
Renewal Date:
08/10/2025
NAIC Code:
63126

Street Location:
344 ROUTE 9W
GLENMONT, NY 12077-2910
Mailing:
MELISSA G MCGRATH
PO BOX 656
ALBANY, NY 12201-0656
Phone:
+1 (518) 431-5406
Fax:
+1 (518) 533-6146
Email:
melissa.mcgrath@americannational.com

History

License Type Start Date End Date
INSURANCE COMPANY 02/28/1990 08/10/2025

Employee

Name Issue Date License Number Expiration Date Cancel Date
ALGOLI LLC
06/26/2024 AGN413857
PETER C. BARACH
02/08/2022 PRN250759
KYLE A. BAYLIS
02/08/2022 PRN346917
MICHAEL N. BERTOLONE
11/03/2005 PRN120196
BETTY JEAN BOGHOSIAN
06/15/2023 PRN454309
SCOTT ALEXANDER BROCKELMAN
02/08/2022 PRN165588
ANDREW D. BRODEUR
06/11/2015 PRN228001
CHRISTIE J. BROWN
02/08/2022 PRN273422
CAMILLE R. BUNICCI
04/21/2016 PRN267281
JEREMY BYRD
02/08/2022 PRR244285
THOMAS B. CARROLL
02/08/2022 PRN125813
THEA BRECK CHAMPLIN
06/16/2022 PRR395434
JASON M. CHARETTE
10/01/2012 PRN206208
STEVEN MICHAEL CHARETTE
10/19/2007 PRN146271
BRANDON CHRISTOPHER COFFMAN
12/01/2016 PRN276542
VINCENT C. DALEY
02/08/2022 PRN343746
FISKE INS AGENCY LLC
07/07/2015 AGN200306
DAN GEORGE FISKE
07/07/2015 PRN108505
DANIEL R. FOSTER
01/13/2003 PRR40397
STEPHEN J. FOUNTAIN
07/11/2011 PRN191822
SALLY A. GAYNOR-KNECHT
02/08/2022 PRN303780
GREGORY SCOTT HALLETT
02/08/2022 PRR306904
JOHN D. HELLER
06/01/2010 PRR153879
CHARLES ROBERT HOGENDORP
02/08/2022 PRN282407
BRITTANY M. ISABELLE
02/08/2022 PRN328658
J P INSURANCE, LLC
06/04/2018 AGN309819
CALEB J. KIRBY
03/31/2004 PRN91777
AARON WESLEY KOFSTAD
02/08/2022 PRR355181
RONALD ARLEN KOFSTAD JR
12/01/1994 PRR20766
JAIME MARIE LEVERENZ
07/14/2022 PRN408724
DARRELL A. LOUIS
06/25/2014 PRN234303
DEBORAH LOURITO
06/12/2024 PRN459482
DANIEL G. LUCENTE
02/17/2022 PRR410936
DONALD E. LUDWIG
01/19/2011 PRN186480
KATHLEEN M. MAHONEY
02/08/2022 PRN403691
SHEILA I. MCCARTHY
02/08/2022 PRN389492
JOSHUA KENTON MEALS
02/08/2022 PRN403814
JENNIFER MESSING
07/03/2023 PRN455460
JOSEPH THOMAS MILLER
12/09/1999 PRR35082
NICHOLAS E. MILLER
06/04/2020 PRN311900
JEFFREY P. PICHIERRI
06/04/2018 PRN308906
JOSEPH J. ROBINSON
04/19/2016 PRR198895
MICHELE L. ROSA
11/16/2022 PRN180309
SHIELDS BROKERAGE LLC
02/01/2024 AGN35604
MICHAEL G. SPLANE
02/08/2022 PRR125388
STEVE CHARETTE AGENCY, LLC
12/01/2023 AGN466375
KEVIN J. SULLIVAN
04/15/2016 PRN267058
MATTHEW W. SWAN
04/20/2016 PRR266343
MARK WAYNE SYLVIA
02/01/2009 PRN99925
KELLY HELMS TITCOMB
01/12/2017 PRR248089
GREGORY BAKER WARREN
08/10/1991 PRR31561
MARTIN G. WEST
03/22/2011 PRN188052

Authority

Description Issue Date Termination Date Status
LIFE 03/01/1996 Active
HEALTH 03/01/1996 Active
HEALTH 01/01/1901 07/01/1995 Terminated
LIFE AND HEALTH 01/01/1901 03/01/1996 Terminated
LIFE 01/01/1901 07/01/1995 Terminated

Contacts

Type Contact
PRODUCER LICENSING CONTACT EDWARD PAVELKA
EDWARD PAVELKA
1 MOODY PLZ
GALVESTON, TX 77550-7947
Phone: +1 (409) 392-8024
Fax: +1 (281) 535-4693
Email: corporate.info@americannational.com
SERVICE OF PROCESS CT CORPORATION SYSTEM
128 STATE ST # 3
AUGUSTA, ME 04330-5630
Phone: +1 (855) 316-8944
Email: info@ctadvantage.com

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN)

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: 05/17/2025 06:31:18 AM