black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JACOB C. PALMER

PRODUCER NON-RESIDENT

License Number:
PRN415295
Status:
First Licensure:
04/05/2022
Cancel Date:
None

Mailing:
ROCHESTER, NY 14607
Phone:
+1 (585) 469-2491
Email:
jacob.palmer@adp.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 04/05/2022

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
THE CHARTER OAK FIRE INSURANCE COMPANY
04/29/2022 PCF403 11/16/2022
EMPLOYERS ASSURANCE COMPANY
04/19/2022 PCF285638
EMPLOYERS COMPENSATION INSURANCE COMPANY
04/19/2022 PCF285639
EMPLOYERS PREFERRED INSURANCE COMPANY
04/19/2022 PCF285637
THE PHOENIX INSURANCE COMPANY
04/29/2022 PCF557 11/16/2022
SECURITY NATIONAL INSURANCE COMPANY
04/27/2022 PCF189490 01/04/2023
SEQUOIA INSURANCE COMPANY
04/27/2022 PCF128467 01/04/2023
TECHNOLOGY INSURANCE COMPANY INC
04/27/2022 PCF136874 01/04/2023
THE TRAVELERS INDEMNITY COMPANY OF AMERICA
04/29/2022 PCF585 11/16/2022
THE TRAVELERS INDEMNITY COMPANY OF CONNECTICUT
04/29/2022 PCF435 07/26/2022
THE TRAVELERS INDEMNITY COMPANY
04/29/2022 PCF602 07/26/2022
TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA
04/29/2022 PCF711 11/16/2022
WESCO INSURANCE COMPANY
04/27/2022 PCF49735 01/04/2023

Authority

Description Issue Date Termination Date Status
CASUALTY 04/05/2022 Active
PROPERTY 04/05/2022 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
20269786

Other Addresses

Address Type
1190 PITTSFORD VICTOR RD
PITTSFORD, NY 14534
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: 06/09/2025 02:23:14 PM