black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

ANN-MARIE MASINGO

PRODUCER NON-RESIDENT

License Number:
PRN345826
Status:
First Licensure:
12/11/2019
Cancel Date:
None

Mailing:
NEW ALBANY, IN 47150
Phone:
+1 (800) 524-7024
Fax:
+1 (855) 241-3262
Email:
ann.marie.masingo@adp.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 12/11/2019

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMTRUST INSURANCE COMPANY
09/20/2022 PCF260762
EMPLOYERS ASSURANCE COMPANY
03/10/2020 PCF285638
EMPLOYERS COMPENSATION INSURANCE COMPANY
03/10/2020 PCF285639
EMPLOYERS PREFERRED INSURANCE COMPANY
03/10/2020 PCF285637
SECURITY NATIONAL INSURANCE COMPANY
08/13/2020 PCF189490
SEQUOIA INSURANCE COMPANY
08/13/2020 PCF128467
TECHNOLOGY INSURANCE COMPANY INC
08/13/2020 PCF136874
WESCO INSURANCE COMPANY
08/13/2020 PCF49735

Authority

Description Issue Date Termination Date Status
CASUALTY 12/11/2019 Active
PROPERTY 12/11/2019 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
7111999

Other Addresses

Address Type
11405 BLUEGRASS PKWY
LOUISVILLE, KY 40299-2349
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: 05/25/2025 05:28:08 AM