black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

SANDRA RUSCAK

PRODUCER NON-RESIDENT

License Number:
PRN447432
Status:
First Licensure:
03/27/2023
Cancel Date:
None

Mailing:
NORTH ANDOVER, MA 01845
Phone:
+1 (978) 688-8829
Email:
sruscak@mrrinsurance.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 03/27/2023

Agency

Name Issue Date License Number Expiration Date Cancel Date
MICHAUD ROWE AND RUSCAK INS ASSOC INC
03/28/2023 AGN171962

Employer

Name Issue Date License Number Expiration Date Cancel Date
NATIONWIDE AFFINITY INSURANCE COMPANY OF AMERICA
12/03/2024 PCF34188
NORTHERN SECURITY INSURANCE COMPANY INC
02/01/2025 PCF36
VERMONT MUTUAL INSURANCE COMPANY
02/01/2025 PCF37

Authority

Description Issue Date Termination Date Status
CASUALTY 03/27/2023 Active
HEALTH 03/27/2023 Active
LIFE 03/27/2023 Active
PROPERTY 03/27/2023 Active

Responsible For

Name License Number
MICHAUD ROWE AND RUSCAK INS ASSOC INC AGN171962

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
5419026

Other Addresses

Address Type
NORTH ANDOVER, MA 01845
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: 05/13/2025 09:14:01 PM