black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JENNIFER DIANA

PRODUCER NON-RESIDENT

License Number:
PRN522896
Status:
First Licensure:
08/07/2025
Cancel Date:
None

Mailing:
MIDDLETOWN, NY 10940
Phone:
+1 (603) 601-1287
Email:
jennifer.diana@siaa.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 08/07/2025

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
MAIN STREET AMERICA ASSURANCE COMPANY
10/31/2025 PCF997
MIDVALE INDEMNITY COMPANY
10/31/2025 PCF79410
NGM INSURANCE COMPANY
10/31/2025 PCF86

Authority

Description Issue Date Termination Date Status
CASUALTY 08/07/2025 Active
PROPERTY 08/07/2025 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
16531525

Other Addresses

Address Type
110 E MAIN ST
MIDDLETOWN, NY 10940-5119
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: 11/11/2025 12:33:56 PM