black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

ASSOCIATION MEMBERS INSURANCE AGENCY, INC.

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN327628
Status:
First Licensure:
03/13/2019
Cancel Date:
None
Renewal Date:
04/01/2025

Street Location:
80 WILLOW RD
NAHANT, MA 01908-1307
Mailing:
80 WILLOW RD
NAHANT, MA 01908-1307
Phone:
+1 (781) 771-0009
Fax:
+1 (781) 207-7775
Email:
frankm@amiagent.net

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 03/13/2019 04/01/2025

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMTRUST INSURANCE COMPANY
09/20/2022 PCF260762
OHIO SECURITY INSURANCE COMPANY
07/17/2019 PCF200581 11/10/2023
SECURITY NATIONAL INSURANCE COMPANY
03/13/2019 PCF189490
SEQUOIA INSURANCE COMPANY
04/23/2020 PCF128467
TECHNOLOGY INSURANCE COMPANY INC
03/13/2019 PCF136874
WESCO INSURANCE COMPANY
03/13/2019 PCF49735

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
FRANK J. MICHAUD
03/13/2019 PRN326787

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
FRANK J. MICHAUD PRN326787

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
18918186

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: 05/15/2025 07:10:46 AM