black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

ADAM UGRINOW

PRODUCER NON-RESIDENT

License Number:
PRN380152
Status:
First Licensure:
04/10/2021
Cancel Date:
None

Mailing:
SHREWSBURY, MA 01545
Phone:
+1 (774) 272-5118
Email:
augrinow@hanover.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 04/10/2021

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
ALLMERICA FINANCIAL ALLIANCE INSURANCE COMPANY
05/04/2021 PCF75617
ALLMERICA FINANCIAL BENEFIT INSURANCE COMPANY
05/04/2021 PCF145893
CAMPMED CASUALTY AND INDEMNITY COMPANY INC
05/04/2021 PCF186224
CITIZENS INSURANCE COMPANY OF AMERICA
05/04/2021 PCF937
THE HANOVER AMERICAN INSURANCE COMPANY
05/04/2021 PCF197298
THE HANOVER INSURANCE COMPANY
05/04/2021 PCF712
MASSACHUSETTS BAY INSURANCE COMPANY
05/04/2021 PCF505
VERLAN FIRE INSURANCE COMPANY
05/04/2021 PCF161934

Authority

Description Issue Date Termination Date Status
CASUALTY 04/10/2021 Active
PROPERTY 04/10/2021 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
19859069

Other Addresses

Address Type
440 LINCOLN ST
WORCESTER, MA 01653-0002
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 07:17:52 PM