black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

THOMAS G. WIERZBOWSKI

PRODUCER NON-RESIDENT

License Number:
PRN262275
Status:
First Licensure:
12/30/2015
Cancel Date:
None

Mailing:
DOYLESTOWN, PA 18901
Phone:
+1 (267) 448-5087 x1003
Fax:
+1 (267) 448-5247
Email:
tina@willowrisk.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 12/30/2015

Agency

Name Issue Date License Number Expiration Date Cancel Date
THE SELZER COMPANY
12/30/2015 AGN83544 03/21/2017
WILLOW RISK ADVISORS, INC.
09/19/2019 AGN338938

Employer

Name Issue Date License Number Expiration Date Cancel Date
ALLMERICA FINANCIAL ALLIANCE INSURANCE COMPANY
04/02/2024 PCF75617
ALLMERICA FINANCIAL BENEFIT INSURANCE COMPANY
04/02/2024 PCF145893
ARCH INSURANCE COMPANY
07/11/2019 PCF62719
CAPITOL INDEMNITY CORPORATION
11/01/2016 PCF162568 12/15/2020
CITIZENS INSURANCE COMPANY OF AMERICA
04/02/2024 PCF937
DOCTORS' COMPANY AN INTER-INSURANCE EXCHANGE
11/25/2019 PCF32218
THE HANOVER AMERICAN INSURANCE COMPANY
04/02/2024 PCF197298
THE HANOVER INSURANCE COMPANY
04/02/2024 PCF712
MASSACHUSETTS BAY INSURANCE COMPANY
04/02/2024 PCF505
MIDWEST EMPLOYERS CASUALTY COMPANY
04/06/2021 PCF77580
STARNET INSURANCE COMPANY
04/06/2021 PCF103936
VERLAN FIRE INSURANCE COMPANY
04/02/2024 PCF161934

Authority

Description Issue Date Termination Date Status
CASUALTY 12/30/2015 Active
PROPERTY 12/30/2015 Active

Responsible For

Name License Number
WILLOW RISK ADVISORS, INC. AGN338938

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
2045163

Other Addresses

Address Type
DOYLESTOWN, PA 18901
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: 06/07/2025 01:06:09 PM