black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

MICHAEL JACOB

PRODUCER NON-RESIDENT

License Number:
PRN515789
Status:
First Licensure:
05/16/2025
Cancel Date:
None

Mailing:
STATEN ISLAND, NY 10314
Phone:
+1 (732) 335-5322
Email:
michael.jacob@usi.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 05/16/2025

Agency

Name Issue Date License Number Expiration Date Cancel Date
USI INS SERVICES LLC
05/22/2025 AGN147905

Employer

Name Issue Date License Number Expiration Date Cancel Date
PENNSYLVANIA MANUFACTURERS' ASSOCIATION INSURANCE COMPANY
05/29/2025 PCF82421

Authority

Description Issue Date Termination Date Status
CASUALTY 05/16/2025 Active
PROPERTY 05/16/2025 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
9927511

Other Addresses

Address Type
90 MATAWAN RD STE 203
MATAWAN, NJ 07747-2625
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: 06/25/2025 05:47:52 AM