black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

MARK ALAN GROSSBARD

PRODUCER NON-RESIDENT

License Number:
PRN77944
Status:
Active
First Licensure:
04/23/2001
Cancel Date:
None

Mailing:
NUTLEY, NJ 07110
Phone:
+1 (973) 667-2600
Email:
aglenn@keystoneagencypartners.com

History
License Type Start Date End Date
PRODUCER NON-RESIDENT 04/23/2001

Agency
Name Issue Date License Number Expiration Date Cancel Date
BANCAR ASSOCIATES INC
 04/23/2001 AGN77945 03/05/2015
KAI STRATEGIC INSURANCE PARTNERS LLC
 09/10/2021 AGN395095
MSDS, INC
 06/26/2013 AGN218013 02/06/2023

Employer
Name Issue Date License Number Expiration Date Cancel Date
ACE AMERICAN INSURANCE COMPANY
 08/03/2011 PCF640
AMTRUST INSURANCE COMPANY
 09/20/2022 PCF260762
HARTFORD ACCIDENT & INDEMNITY COMPANY
 04/23/2001 PCF462 07/02/2008
HARTFORD CASUALTY INSURANCE COMPANY
 04/23/2001 PCF967 07/02/2008
HARTFORD FIRE INSURANCE COMPANY
 04/23/2001 PCF464 07/02/2008
HARTFORD INSURANCE COMPANY OF THE MIDWEST
 04/23/2001 PCF1021 07/02/2008
HARTFORD UNDERWRITERS INSURANCE COMPANY
 04/23/2001 PCF992 07/02/2008
HARTFORD UNDERWRITERS INSURANCE COMPANY
 02/17/2023 PCF992 05/09/2025
SAMSUNG FIRE & MARINE INSURANCE CO., LTD (US BRANCH)
 01/27/2014 PCF208107 09/19/2017
SECURITY NATIONAL INSURANCE COMPANY
 06/22/2022 PCF189490
SEQUOIA INSURANCE COMPANY
 06/22/2022 PCF128467
THE STANDARD FIRE INSURANCE COMPANY
 12/16/2022 PCF584
TECHNOLOGY INSURANCE COMPANY INC
 06/22/2022 PCF136874
TRAVELERS PERSONAL INSURANCE COMPANY
 05/19/2023 PCF201268
TRUMBULL INSURANCE COMPANY
 04/23/2001 PCF47441 07/02/2008
TWIN CITY FIRE INSURANCE COMPANY
 04/23/2001 PCF963 07/02/2008
WESCO INSURANCE COMPANY
 06/22/2022 PCF49735

Authority
Description Issue Date Termination Date Status
CASUALTY 04/23/2001 Active
HEALTH 04/23/2001 Active
LIFE 04/23/2001 Active
PROPERTY 04/23/2001 Active

Responsible For
Name License Number
KAI STRATEGIC INSURANCE PARTNERS LLC AGN395095

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
890313

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: 05/25/2025 06:46:34 AM