black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

AMANDA LEE JACKSON

PRODUCER RESIDENT

License Number:
PRR99141
Status:
Active
First Licensure:
10/16/2003
Cancel Date:
None
Renewal Date:
03/31/2025

Continuing Education:
Required by 03/31/2025
Hours Required:
Ethics:
3
Total Required:
24
Hours Acquired:
Ethics:
0
Total Acquired:
8

Mailing:
GORHAM, ME 04038
Phone:
+1 (207) 523-2229
Fax:
+1 (207) 774-2994
Email:
ajackson@clarkinsurance.com

History
License Type Start Date End Date
PRODUCER RESIDENT 10/16/2003 03/31/2025

Agency
Name Issue Date License Number Expiration Date Cancel Date
ANDERSON WATKINS ASSOCIATES INC
 10/16/2003 AGR29499 10/29/2015
MARSH & MCLENNAN AGENCY LLC
 09/20/2022 AGN171044
VARNEY AGENCY INC
 10/01/2015 AGR12271 09/14/2022

Employer
Name Issue Date License Number Expiration Date Cancel Date
21ST CENTURY PREMIER INSURANCE COMPANY
 02/05/2009 PCF321 01/06/2011
ACADIA INSURANCE COMPANY
 12/09/2015 PCF35064 12/21/2023
ACUITY A MUTUAL INSURANCE COMPANY
 06/21/2017 PCF155357 05/17/2024
ALLMERICA FINANCIAL ALLIANCE INSURANCE COMPANY
 05/15/2008 PCF75617 10/28/2015
ALLMERICA FINANCIAL BENEFIT INSURANCE COMPANY
 05/15/2008 PCF145893 10/03/2022
ALLSTATE FIRE AND CASUALTY INSURANCE COMPANY
 11/03/2015 PCF864 10/22/2022
ALLSTATE INDEMNITY COMPANY
 11/03/2015 PCF522 10/22/2022
ALLSTATE INSURANCE COMPANY
 11/03/2015 PCF354 10/22/2022
ALLSTATE PROPERTY AND CASUALTY INSURANCE COMPANY
 11/03/2015 PCF84066 10/22/2022
AMERICAN ECONOMY INSURANCE COMPANY
 06/27/2014 PCF363 03/12/2021
AMERICAN FIRE AND CASUALTY COMPANY
 06/27/2014 PCF200822 09/23/2022
AMERICAN GUARANTEE & LIABILITY INSURANCE COMPANY
 11/25/2008 PCF366 09/30/2010
AMERICAN MODERN HOME INSURANCE COMPANY
 10/23/2015 PCF808 07/01/2019
AMERICAN MODERN PROPERTY & CASUALTY INSURANCE COMPANY
 02/08/2018 PCF234561
AMERICAN MODERN SELECT INSURANCE COMPANY
 10/23/2015 PCF123448 07/01/2019
AMERICAN RELIABLE INSURANCE COMPANY
 04/19/2016 PCF45416 10/17/2016
AMERICAN STATES INSURANCE COMPANY
 06/27/2014 PCF377 03/12/2021
AMERICAN ZURICH INSURANCE COMPANY
 11/25/2008 PCF914 09/30/2010
ANSUR AMERICA INSURANCE COMPANY
 03/07/2024 PCF95773 04/08/2024
ASSURANCE COMPANY OF AMERICA
 11/25/2008 PCF651 09/30/2010
ATHOME INSURANCE COMPANY
 11/19/2004 PCF503 01/06/2011
ATLANTIC SPECIALTY INSURANCE COMPANY
 10/20/2011 PCF104029 12/11/2013
THE AUTOMOBILE INSURANCE COMPANY OF HARTFORD, CONNECTICUT
 12/02/2005 PCF659 12/07/2009
THE AUTOMOBILE INSURANCE COMPANY OF HARTFORD, CONNECTICUT
 11/20/2015 PCF659 11/03/2022
BRISTOL WEST INSURANCE COMPANY
 07/01/2004 PCF78370 10/03/2022
CAMBRIDGE MUTUAL FIRE INSURANCE COMPANY
 08/21/2020 PCF396 10/03/2022
THE CHARTER OAK FIRE INSURANCE COMPANY
 11/20/2015 PCF403 11/03/2022
CITIZENS INSURANCE COMPANY OF AMERICA
 11/13/2003 PCF937 10/03/2022
COMMERCE INSURANCE COMPANY (THE)
 08/03/2017 PCF53427 08/25/2023
CONCORD GENERAL MUTUAL INSURANCE COMPANY
 11/01/2003 PCF416 05/06/2024
CONTINENTAL WESTERN INSURANCE COMPANY
 12/09/2015 PCF673 12/21/2023
COUNTRYWAY INSURANCE COMPANY
 10/21/2015 PCF98 10/03/2022
DAIRYLAND INSURANCE COMPANY
 12/12/2003 PCF721 10/03/2022
DORCHESTER MUTUAL INSURANCE COMPANY
 06/30/2006 PCF426 01/25/2012
EMPLOYERS FIRE INSURANCE COMPANY
 03/09/2009 PCF41 04/18/2014
EMPLOYERS INSURANCE COMPANY OF WAUSAU
 02/27/2017 PCF434 09/23/2022
EXCELSIOR INSURANCE COMPANY
 12/23/2003 PCF46786 09/23/2022
FARMERS PROPERTY AND CASUALTY INSURANCE COMPANY
 02/10/2012 PCF714 02/17/2017
FARMINGTON CASUALTY COMPANY
 04/12/2006 PCF995 11/03/2015
FARMINGTON CASUALTY COMPANY
 11/20/2015 PCF995 11/03/2022
FIREMEN'S INSURANCE COMPANY OF WASHINGTON DC
 12/09/2015 PCF35141 12/21/2023
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
 08/13/2004 PCF445 10/03/2022
FRANKENMUTH INSURANCE COMPANY
 02/24/2015 PCF83684 04/08/2024
GENERAL INSURANCE COMPANY OF AMERICA
 06/27/2014 PCF447 03/12/2021
THE HANOVER AMERICAN INSURANCE COMPANY
 10/29/2015 PCF197298 10/03/2022
THE HANOVER INSURANCE COMPANY
 11/13/2003 PCF712 10/03/2022
HARTFORD ACCIDENT & INDEMNITY COMPANY
 01/13/2006 PCF462 07/02/2008
HARTFORD ACCIDENT & INDEMNITY COMPANY
 07/07/2011 PCF462 09/09/2013
HARTFORD CASUALTY INSURANCE COMPANY
 01/13/2006 PCF967 07/02/2008
HARTFORD FIRE INSURANCE COMPANY
 01/13/2006 PCF464 07/02/2008
HARTFORD FIRE INSURANCE COMPANY
 02/14/2022 PCF464 10/07/2022
HARTFORD INSURANCE COMPANY OF THE MIDWEST
 01/13/2006 PCF1021 07/02/2008
HARTFORD UNDERWRITERS INSURANCE COMPANY
 01/13/2006 PCF992 07/02/2008
HARTFORD UNDERWRITERS INSURANCE COMPANY
 06/11/2020 PCF992 10/07/2022
INTEGON NATIONAL INSURANCE COMPANY
 10/30/2015 PCF310 10/03/2022
KEMPER INDEPENDENCE INSURANCE COMPANY
 11/09/2006 PCF94586 08/22/2017
LAMORAK INSURANCE COMPANY
 03/09/2009 PCF671 04/23/2014
MAIN STREET AMERICA ASSURANCE COMPANY
 01/22/2014 PCF997
MAIN STREET AMERICA PROTECTION INSURANCE COMPANY
 04/21/2016 PCF235440
MAINE EMPLOYERS MUTUAL INSURANCE COMPANY
 12/04/2020 PCD35999
MARYLAND CASUALTY COMPANY
 11/25/2008 PCF500 09/30/2010
MASSACHUSETTS BAY INSURANCE COMPANY
 11/13/2003 PCF505 10/03/2022
MEMIC INDEMNITY COMPANY
 12/04/2020 PCF153927
MERRIMACK MUTUAL FIRE INSURANCE COMPANY
 01/16/2004 PCF79 10/13/2015
MERRIMACK MUTUAL FIRE INSURANCE COMPANY
 08/21/2020 PCF79 10/03/2022
MIDVALE INDEMNITY COMPANY
 09/15/2020 PCF79410
MMG INSURANCE COMPANY
 10/29/2015 PCD5
MOUNTAIN VALLEY INDEMNITY COMPANY
 02/12/2008 PCF48487 02/11/2009
NETHERLANDS INSURANCE COMPANY
 12/23/2003 PCF827 09/23/2022
NGM INSURANCE COMPANY
 01/22/2014 PCF86
NORFOLK & DEDHAM MUTUAL FIRE INSURANCE COMPANY
 06/30/2006 PCF535 06/17/2011
NORTH EAST INSURANCE COMPANY
 02/18/2004 PCF536 02/11/2009
NORTHERN ASSURANCE COMPANY OF AMERICA
 10/04/2007 PCF1020 08/01/2013
NORTHERN INSURANCE COMPANY OF NEW YORK
 11/25/2008 PCF501 09/30/2010
NORTHERN SECURITY INSURANCE COMPANY INC
 07/26/2004 PCF36 10/06/2022
NUTMEG INSURANCE COMPANY
 04/03/2022 PCF190946 10/07/2022
OCCIDENTAL FIRE & CASUALTY COMPANY OF NORTH CAROLINA
 07/24/2017 PCF540
OHIO CASUALTY INSURANCE COMPANY
 06/27/2014 PCF73059 09/23/2022
OHIO SECURITY INSURANCE COMPANY
 06/27/2014 PCF200581 09/23/2022
PATRIOT INSURANCE COMPANY
 09/09/2005 PCD208274 04/08/2024
PATRONS OXFORD INSURANCE COMPANY
 12/05/2014 PCD7 09/20/2021
PEERLESS INDEMNITY INSURANCE COMPANY
 06/27/2014 PCF97399 12/23/2021
PEERLESS INSURANCE COMPANY
 12/23/2003 PCF548 09/23/2022
PHENIX MUTUAL FIRE INSURANCE COMPANY
 11/04/2015 PCF554 03/27/2024
THE PHOENIX INSURANCE COMPANY
 11/20/2015 PCF557 11/03/2022
PROGRESSIVE NORTHERN INSURANCE COMPANY
 02/09/2004 PCF51006 09/26/2022
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
 02/09/2004 PCF27738 09/26/2022
PROPERTY & CASUALTY INSURANCE COMPANY OF HARTFORD
 09/21/2011 PCF47445 05/18/2015
SAFECO NATIONAL INSURANCE COMPANY
 02/27/2017 PCF248658 09/23/2022
SECURITY NATIONAL INSURANCE COMPANY
 04/26/2017 PCF189490 07/20/2021
SENTINEL INSURANCE COMPANY LTD
 01/13/2006 PCF84269 06/03/2009
SENTINEL INSURANCE COMPANY LTD
 06/26/2009 PCF84269 05/18/2015
SEQUOIA INSURANCE COMPANY
 04/23/2020 PCF128467 07/20/2021
ST. PAUL FIRE AND MARINE INSURANCE COMPANY
 01/23/2013 PCF575 07/01/2014
THE STANDARD FIRE INSURANCE COMPANY
 12/02/2005 PCF584 11/03/2015
THE STANDARD FIRE INSURANCE COMPANY
 11/20/2015 PCF584 11/03/2022
TECHNOLOGY INSURANCE COMPANY INC
 04/26/2017 PCF136874 07/20/2021
TOWER INSURANCE COMPANY OF NEW YORK
 02/12/2008 PCF120355 10/06/2014
TOWER NATIONAL INSURANCE COMPANY
 02/12/2008 PCF923 02/11/2009
TRAVELERS CASUALTY AND SURETY COMPANY
 11/20/2015 PCF348 11/03/2022
TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA
 12/15/2016 PCF974 11/03/2022
TRAVELERS CASUALTY COMPANY OF CONNECTICUT
 12/02/2005 PCF31810 12/05/2009
TRAVELERS CASUALTY INSURANCE COMPANY OF AMERICA
 04/12/2006 PCF935 11/03/2015
TRAVELERS CASUALTY INSURANCE COMPANY OF AMERICA
 11/20/2015 PCF935 11/03/2022
TRAVELERS COMMERCIAL CASUALTY COMPANY
 11/20/2015 PCF83507 11/03/2022
THE TRAVELERS HOME AND MARINE INSURANCE COMPANY
 11/20/2015 PCF56556 11/03/2022
THE TRAVELERS INDEMNITY COMPANY OF AMERICA
 12/02/2005 PCF585 11/03/2015
THE TRAVELERS INDEMNITY COMPANY OF AMERICA
 11/20/2015 PCF585 11/03/2022
THE TRAVELERS INDEMNITY COMPANY OF CONNECTICUT
 12/02/2005 PCF435 11/03/2015
THE TRAVELERS INDEMNITY COMPANY OF CONNECTICUT
 11/20/2015 PCF435 11/03/2022
THE TRAVELERS INDEMNITY COMPANY
 11/20/2015 PCF602 11/03/2022
TRAVELERS PERSONAL INSURANCE COMPANY
 09/28/2020 PCF201268 11/03/2022
TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA
 11/20/2015 PCF711 11/03/2022
TRAVELERS PROPERTY CASUALTY INSURANCE COMPANY
 12/02/2005 PCF31808 12/07/2009
TRI STATE INSURANCE COMPANY OF MINNESOTA
 12/09/2015 PCF146321 12/21/2023
TWIN CITY FIRE INSURANCE COMPANY
 01/13/2006 PCF963 07/02/2008
TWIN CITY FIRE INSURANCE COMPANY
 05/23/2011 PCF963 05/18/2015
UNION INSURANCE COMPANY
 12/09/2015 PCF141739 12/21/2023
UNITED FINANCIAL CASUALTY COMPANY
 08/11/2006 PCF61704 04/08/2014
VERMONT MUTUAL INSURANCE COMPANY
 07/26/2004 PCF37 10/06/2022
WESCO INSURANCE COMPANY
 04/26/2017 PCF49735 07/20/2021
WEST AMERICAN INSURANCE COMPANY
 06/27/2014 PCF200576 09/23/2022
YORK INSURANCE COMPANY OF MAINE
 01/25/2006 PCF498 07/21/2016
ZURICH AMERICAN INSURANCE COMPANY
 11/25/2008 PCF61397 09/30/2010
ZURICH AMERICAN INSURANCE COMPANY OF ILLINOIS
 05/06/2009 PCF165251 09/30/2010

Authority
Description Issue Date Termination Date Status
CASUALTY 10/16/2003 Active
PROPERTY 10/16/2003 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
7913004

Other Addresses
Address Type
1945 CONGRESS ST
PORTLAND, ME 04102-1967
 Office

CE Courses
Date Description Course Number Content Areas
11/08/2023 CYBER AND PRIVACY LIABILITY EXPOSURES AND HOW TO INSURE THEM 24740
8
credits in General Education
Total:
8

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 02:38:10 AM