black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

FALLS LAKE NATIONAL INSURANCE COMPANY

INSURANCE COMPANY

License Number:
PCF367127
Status:
First Licensure:
10/28/2020
Cancel Date:
None
Renewal Date:
08/10/2025
NAIC Code:
31925

Street Location:
6641 W BROAD ST STE 300
RICHMOND, VA 23230-1728
Mailing:
6641 W BROAD ST STE 300
RICHMOND, VA 23230-1728
Phone:
+1 (804) 281-3102
Fax:
+1 (888) 698-7290
Email:
regulatory.contact@jamesriverins.com

History

License Type Start Date End Date
INSURANCE COMPANY 10/28/2020 08/10/2025

Employee

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN RISK SERVICES LLC
10/13/2021 AGN178935
ARROWHEAD GENERAL INSURANCE AGENCY INC
03/08/2022 AGN39380
MICHAEL ANTHONY BEARDSLEY
11/19/2021 PRN139281
DENNIS S. BEECHER
11/16/2021 PRN402041
SUSAN R. COATES
11/22/2021 PRN291887
KYLE JOSEPH DADOMO
11/22/2021 PRN169917
EIGER INSURANCE SERVICES, INC
09/28/2023 AGN456174
ROBERT CARL ETZLER JR
11/23/2021 PRN167469
BRANT LEE HAAFKE
11/19/2021 PRN349703
HARMON DENNIS BRADSHAW INC
06/16/2022 AGN95018
RONALD C. MAIRANO
11/23/2021 PRN131053
PALOMAR INSURANCE CORPORATION
07/27/2022 AGN63540
PARAGON INS HOLDINGS LLC
05/26/2021 AGN231025
PEAKSTONE FINANCIAL SERVICES INC
06/16/2022 AGN70302
RICH & CARTMILL INC
06/16/2022 AGN97343
KENNETH JAMES SCHMIDT
09/28/2023 PRN455976
MORGANN SCHULTZ
11/22/2021 PRN222031
ROBERT SIMPSON
10/15/2021 PRN97498
LISA DENISE STAHL
09/08/2022 PRN154054
BRIAN K. WEBER
11/23/2021 PRN157486

Supervised Entity

None.

Authority

Description Issue Date Termination Date Status
FIRE 10/28/2020 Active
ALLIED LINES 10/28/2020 Active
COMMERCIAL MULTIPLE PERIL 10/28/2020 Active
INLAND MARINE 10/28/2020 Active
MEDICAL MALPRACTICE 10/28/2020 Active
EARTHQUAKE 10/28/2020 Active
WORKERS COMPENSATION 10/28/2020 Active
OTHER LIABILITY 10/28/2020 Active
PRODUCTS LIABILITY 10/28/2020 Active
AUTO LIABILITY 10/28/2020 Active
AUTO PHYS DAMAGE 10/28/2020 Active
GLASS 10/28/2020 Active
BURGLARY AND THEFT 10/28/2020 Active
BOILER AND MACHINERY 10/28/2020 Active

Contacts

Type Contact
PRODUCER LICENSING CONTACT JULIDDEN SMITH
JULIDDEN SMITH
6641 W BROAD ST STE 300
RICHMOND, VA 23230-1728
Phone: +1 (919) 882-3578
Email: fli_external_appointments@fallslakeins.com
WORKERS COMPENSATION CLAIMS BAKARI WATKINS
FALLS LAKE NATIONAL INSURANCE COMPANY
PO BOX 97308
RALEIGH, NC 27624-7308
Phone: +1 (866) 459-1349
Email: claims-contact@fallslakeins.com
SERVICE OF PROCESS CORPORATION SERVICE COMPANY
45 MEMORIAL CIR
AUGUSTA, ME 04330-6400
Phone: +1 (800) 927-9800
Fax: +1 (302) 636-5454
Email: sop@cscglobal.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: 05/20/2025 12:38:53 AM