black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

AMEX ASSURANCE COMPANY

INSURANCE COMPANY

License Number:
PCF875
Status:
First Licensure:
03/05/1982
Cancel Date:
None
Renewal Date:
08/10/2026
NAIC Code:
27928

Street Location:
AZ080202
18850 N 56TH ST
PHOENIX, AZ 85054-4500
Mailing:
AZ080202
18850 N 56TH ST
PHOENIX, AZ 85054-4500
Phone:
+1 (800) 228-6855
Email:
derek.l.anderson@aexp.com

History

License Type Start Date End Date
INSURANCE COMPANY 03/01/1990 08/10/2026

Employee

Name Issue Date License Number Expiration Date Cancel Date
MYRNA GLORIA ACERO
06/03/2025 PRN516993
AMERICAN EXPRESS TRAVEL RELATED SERVICES CO INC
12/30/2014 AGN15110
HELENE ARTHUR
01/05/2026 PRN536928
ASSURANT INSURANCE AGENCY INC
03/11/2020 AGN36271
ANTONELA BLAZEVIC
09/18/2025 PRN527393
ROGER ANTHONY CLARK
07/28/2025 PRN521883
PAMELA J. CLARKE
08/20/2004 PRN103607
ALEXANDRA COELHO
08/19/2025 PRN523455
JASON N. COSMIDES
02/26/2026 PRN481751
MICHAEL EUBANK
08/28/2025 PRN525325
ZACARIAS WAYNE FISHER
06/06/2025 PRN517354
JONNATHAN JAIME GARRIDO
01/09/2026 PRN424828
HOWARD C. HAGGERTY
10/08/2009 PRN170441
DIONTAE LOWTHER
01/28/2026 PRN538870
MICHAEL DEVERTON MATTHEWS
01/08/2026 PRN426002
LUIS MONTES
07/08/2022 PRN423108
ARMANDO RAY ORTIZ
06/06/2025 PRN517446
NYSSA RANGEL
08/20/2025 PRN523607
DONNA SKROVAN ROWAN
06/06/2025 PRN517349
JEFFREY WILLIAM STEELE-WATSON
06/06/2025 PRN517348
DONNA EILEEN STEPHENSON
06/03/2025 PRN516981
CRYSTAL SUNSHINE WEST
06/03/2025 PRN516987
CECILY YOUNG
06/06/2025 PRN517341
SCOTT ZINGALE
09/02/2025 PRN525623

Supervised Entity

None.

Authority

Description Issue Date Termination Date Status Additional Information
HEALTH 03/01/1996 Active
HOMEOWNERS MULTIPLE PERIL 03/01/1996 Active
INLAND MARINE 03/01/1996 Active
OTHER LIABILITY 03/01/1996 Active
AUTO LIABILITY 03/01/1996 Active
AUTO PHYS DAMAGE 03/01/1996 Active
SURETY 03/01/1996 Active
LIMITED TO HOME STATE 07/08/1996 07/08/1996 Terminated
Designated State

PROPERTY AND CASUALTY 01/01/1901 03/01/1996 Terminated

Contacts

Type Contact
PRODUCER LICENSING CONTACT BRENT MCILQUHAM
BRENT MCILQUHAM
AZ080202
18850 N 56TH ST
PHOENIX, AZ 85054-4500
Phone: +1 (602) 766-8201
Email: aaclicensing@aexp.com
SERVICE OF PROCESS CT CORPORATION SYSTEM
3 CHASE AVE
AUGUSTA, ME 04330-4525
Phone: +1 (855) 316-8944
Email: info@ctadvantage.com

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN)

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: 03/04/2026 01:07:30 PM