Search → OBI NATIONAL INSURANCE COMPANY
DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE
OBI NATIONAL INSURANCE COMPANY
INSURANCE COMPANY
License Number:
PCF214724
Status:
First Licensure:
03/20/2013
Cancel Date:
None
Renewal Date:
08/10/2025
NAIC Code:
Street Location:
600 N 2ND ST STE 401
HARRISBURG, PA 17101-1071
HARRISBURG, PA 17101-1071
Mailing:
BRIDGET A DELANEY
605 HIGHWAY 169 N STE 800
PLYMOUTH, MN 55441-6533
605 HIGHWAY 169 N STE 800
PLYMOUTH, MN 55441-6533
Phone:
+1 (952) 852-0476
Email:
regulatorychange@intactinsurance.com
| License Type | Start Date | End Date |
|---|---|---|
| INSURANCE COMPANY | 03/20/2013 | 08/10/2025 |
| Name | Issue Date | License Number | Expiration Date | Cancel Date |
|---|---|---|---|---|
| ADMIRALTY INS AGENCY INC |
10/04/2021 | AGN229295 | ||
| ASSUREDPARTNERS NL LLC |
07/06/2021 | AGN193825 | ||
| WILLIAM CHARLES BURKE III |
02/18/2020 | PRN51054 | ||
| MICHAEL PAUL GINGRICH |
07/06/2021 | PRN157115 | ||
| MARIE ADELE HAYWARD |
10/05/2021 | PRN153761 | ||
| GREGORY J. HORUN |
09/11/2020 | PRN162804 | ||
| INNOVATION GROWTH PARTNERS SPECIALTY, LLC |
03/29/2022 | AGN40720 | ||
| JOHN PAULK |
04/08/2024 | PRN218113 | ||
| JASON M. WIESELMAN |
09/14/2020 | PRN176080 | ||
| WILLIAM C BURKE JR INSURANCE AGENCY INC |
02/18/2020 | AGN51433 |
Supervised Entity
None.
| Description | Issue Date | Termination Date | Status |
|---|---|---|---|
| WORKERS COMPENSATION | 03/20/2013 | Active |
| Type | Contact |
|---|---|
| PRODUCER LICENSING CONTACT | DONNA WALSH DONNA WALSH 150 ROYALL ST STE 100 CANTON, MA 02021-1054 Phone: +1 (781) 332-8027 Fax: +1 (888) 228-6922 Email: agencylicensing@intactinsurance.com |
| WORKERS COMPENSATION CLAIMS | CINDY VAN EYLL OBI NATIONAL INSURANCE COMPANY 605 HIGHWAY 169 N STE 800 PLYMOUTH, MN 55441-6533 Phone: +1 (952) 852-0828 Fax: +1 (866) 639-0437 Email: cvaneyll@intactinsurance.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)
| Phone Number | Type |
|---|---|
| +1 (800) 677-3394 | 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: 05/13/2025 08:28:20 PM
