black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JAYANA BENJAMIN

PRODUCER NON-RESIDENT

License Number:
PRN506587
Status:
First Licensure:
01/29/2025
Cancel Date:
None

Mailing:
CONVERSE, TX 78109
Phone:
+1 (267) 207-6708
Email:
jbenjamin@boltinsurance.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 01/29/2025

Agency

Name Issue Date License Number Expiration Date Cancel Date
BUSINESS OWNERS LIABILITY TEAM LLC
01/30/2025 AGN170901
SUPERIOR ACCESS INSURANCE SERVICES INC
01/30/2025 AGN65856

Employer

Name Issue Date License Number Expiration Date Cancel Date
ALLMERICA FINANCIAL ALLIANCE INSURANCE COMPANY
04/30/2025 PCF75617
ALLMERICA FINANCIAL BENEFIT INSURANCE COMPANY
04/30/2025 PCF145893
CITIZENS INSURANCE COMPANY OF AMERICA
04/30/2025 PCF937
THE HANOVER AMERICAN INSURANCE COMPANY
04/30/2025 PCF197298
THE HANOVER INSURANCE COMPANY
04/30/2025 PCF712
MASSACHUSETTS BAY INSURANCE COMPANY
04/30/2025 PCF505
VERLAN FIRE INSURANCE COMPANY
04/30/2025 PCF161934

Authority

Description Issue Date Termination Date Status
CASUALTY 01/29/2025 Active
PROPERTY 01/29/2025 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
21217630

Other Addresses

Address Type
CONVERSE, TX 78109
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: 06/17/2025 01:18:12 AM