black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

INSURANCE COMPANY OF NORTH AMERICA

One or more of the licenses listed below were subject to license/disciplinary action. Details regarding each action can be found below under the affected license.

INSURANCE COMPANY

License Number:
PCF480
Status:
First Licensure:
07/25/1970
Cancel Date:
None
Renewal Date:
08/10/2026
NAIC Code:
22713

Mailing:
PO BOX 1000
436 WALNUT ST
PHILADELPHIA, PA 19106-3703
Phone:
+1 (212) 640-5259
Email:
john.marlow@chubb.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
3 MARK FINANCIAL-TEXAS INC
07/03/2025 AGN46215
STEPHANIE NICOLE ABT
08/05/2025 PRN345923
ESMERALDA ACOSTA
09/15/2025 PRN363776
MANUEL EDUARDO ADAMS ROMERO
07/29/2025 PRN468465
AIMC LLC
07/01/2025 AGN154831
JESCIMIEL FATOUMATA AKINOCHO
07/31/2025 PRN521335
ALAN R. MOTT AGENCY, INC.
01/22/2010 AGN165129
ISAAC RAFAEL ALFONZO
07/18/2025 PRN519562
EUGENE THOMAS ALTAFFER
09/17/2025 PRN207233
TRISHA MAE AN
09/18/2025 PRN412837
CYNTHIA ANDERSON
08/23/2025 PRN398529
JOHN DAVID ANDERSON
09/20/2025 PRN449854
MATTHEW ROBERT ANDERSON
06/30/2021 PRN132347
ALICIA V. ANTHONY
09/20/2025 PRN342005
JULIANA ARIFI
08/03/2025 PRN520491
ARTHUR J GALLAGHER RISK MANAGEMENT SERVICES LLC
08/07/2013 AGN37963
ASSURANCE GROUP LLC
08/27/2025 AGN115368
ASSUREDPARTNERS NORTHEAST LLC
06/25/2014 AGN197878
FARHAD ATAI
08/06/2025 PRN426968
JACOB AUBUCHON
09/20/2025 PRN491471
BRENDA KAYE AUSTIN
09/19/2025 PRN400514
EDWARD S. BABITS
09/21/2025 PRN297101
MAXWELL BENNETT BAITY
09/20/2025 PRN466243
JAMIE LYNN BANNER
09/20/2025 PRN359432
MARCIE ELLEN BARNES
09/15/2025 PRN443058
JAMES JOSEPH BART
07/31/2025 PRN520952
BRETT LOUIS BASHIN
09/18/2025 PRN497219
AMY BEGLEY
08/21/2025 PRN351640
STACY R. BELL
09/20/2025 PRN491067
THE BENEFIT LINK INC.
09/17/2025 AGN324940
AMANDA BERGERON
09/07/2025 PRN522827
DANIELLE BERGERON
08/05/2025 PRN291245
REBECCA MARIE BERKMAN
09/21/2025 PRN383516
JEFFREY F. BERNDT
12/24/2003 PRN51791
JESSICA BETZ
08/03/2025 PRN341912
VICTORIA PAULINE BETZLER
07/21/2025 PRN518048
RANDALL BILLINGS
09/20/2025 PRN424404
TAYLOR MACKENZIE BITTLE
09/22/2025 PRN486916
NEIL E. BJORNSTAD
09/14/2025 PRN481088
VERNELL ANTONIO BLACKMAN
08/07/2025 PRN495720
DYLAN BLANCK
09/20/2025 PRN456951
MARGARET A. BLEND
09/17/2025 PRN463104
SHERESE BOOKER
09/24/2025 PRN207168
HOLLY DEE BOURNE
09/22/2025 PRN507875
NICHOLAS AARON BOUSHAY
09/17/2025 PRN345678
SHAMERA BOWDEN
09/21/2025 PRN466393
JEREMY L. BOWEN
09/21/2025 PRN338091
JASON BOYKIN
09/18/2025 PRN496311
FRANK DONALD BRADFORD II
12/09/2003 PRN58475
ETTA RENAE BRANTLEY
09/14/2025 PRN276603
DARICE DOMINIQUE BREEDLOVE
09/18/2025 PRN400517
ERIC BREHOB
09/17/2025 PRN347482
NORMAN C. BREITENBACH
05/22/2018 PRN307801
NAKEEA MARIA BROCKS
09/19/2025 PRN324633
STEVEN R. BROOKS
09/22/2025 PRN401729
BRYSON J. BROWN
08/05/2025 PRN350966
CHANNELL BROWN
09/20/2025 PRN489758
NATHAN BROWN
09/17/2025 PRN498224
TAMARA BROWN
09/18/2025 PRN495540
TIANA NICOLE BROWN
07/21/2025 PRN433959
JAMIE LYNNE BRYANT
09/18/2025 PRN394179
PATRICIA E. BUCACCIO
09/16/2025 PRN511995
MORGAN S. BUECHELE
08/10/2025 PRN445258
ASHLEY RENE BULLOCK
08/04/2025 PRN490627
KELLY M. BURPEE
04/01/2001 PRR39413
TERRANCE BURTON
09/15/2025 PRN461659
BUSINESS BENEFITS AND INVESTMENTS INC
09/25/2025 AGR88553
AARON BUTLER
09/19/2025 PRN432237
CORY WYATT CALDWELL
09/19/2025 PRN432351
CANI ENTERPRISES LLC
07/29/2025 AGN492590
MARIZA CANO
08/07/2025 PRN429583
MATTHEW C. CANO
09/19/2025 PRN432450
COURTNEY MICHELLE CAPUTO
09/24/2025 PRN526706
JAYDON TAYLOR CARLSEN
09/20/2025 PRN448557
LA TIERA MARY CARPENTER
09/02/2025 PRN436078
DANA MARIE CARRIERO
08/20/2025 PRN182863
CHRISTOPHER JOSEPH CARRINO
09/17/2025 PRN122678
JASON CASTILLO
08/03/2025 PRN496936
RICARDO CASTILLO
08/07/2025 PRN404517
DANIEL CEJA
08/06/2025 PRN359939
TRACY CLARICE CHAPITAL
09/09/2025 PRN203800
MICHELLE JOY CHARLOUX
04/01/2001 PRR41520
ZEN B. CHASTON
09/17/2025 PRN360010
DENNIS CHERCHENKO
09/18/2025 PRN429479
DEBANAE CHRISTENSEN
08/07/2025 PRN364081
JOHN R. CHRISTIE
09/08/2025 PRN526007
CHUBB INSURANCE SOLUTIONS AGENCY INC
04/13/2000 AGN68648
NANCY KAY CLAY
08/05/2025 PRN360093
JOHN COBB
09/02/2025 PRN359665
ARMINDA E. COCHRAN
09/29/2025 PRN518584
JUSTIN MARTIN COHEN
09/19/2025 PRN297489
JACOB THOMAS CONLON
07/30/2025 PRN518796
JONATHAN JAY LAWTON COOK
09/20/2025 PRN489918
JAMES LAFAYETTE CORBIN
09/12/2025 PRN466623
COREPOINTE INSURANCE AGENCY INC
04/01/2005 AGN57624
ALAYNA LEANNE COSENS
09/17/2025 PRN358022
ALISHEA COYLE
09/17/2025 PRN323004
VICTOR LEWIS CRAIN
09/14/2025 PRN337259
CROSS INSURANCE, INC. - MAINE
04/01/2001 AGR19087
JONATHAN MICHAEL CROSS
04/01/2001 PRR61663
ROYCE MARVIN CROSS
04/01/2001 PRR4897
EMILY GRACE CROWDER
07/15/2025 PRN490783
EVAN KRISTOPHER CRUSE
09/20/2025 PRN448221
MICAH CRUSE
09/20/2025 PRN490015
CELESTE M. CUNNINGTON
09/17/2025 PRN524309
CAMERON PAIGE DADE
07/14/2025 PRN512457
SUNDOWN F. DAIN
08/18/2025 PRN313120
CHRISTEN DAMLER
08/05/2025 PRN402917
VANESSA JANE DARLING
04/01/1996 PRR22905
JUSTIN DAVIDSON
07/07/2025 PRN351990
EMANI DANEE DAVIS
09/20/2025 PRN489751
DAWN ANNE DAWDY-MOORE
08/05/2025 PRN446350
RICHARD DAY
09/08/2025 PRN520985
BRIAN E. DEROSS
09/20/2025 PRN500198
CHAFFIN DEVERA
09/20/2025 PRN489610
TE INAH DIAZ
09/17/2025 PRN464644
GREGORY DIBIASIE
09/20/2025 PRN461493
PATRICIA DICKERSON
09/19/2025 PRN464721
ANDREW YUKIO DICKINSON
08/05/2025 PRN313828
MARISOL DOMINGUEZ
09/09/2025 PRN474713
PAIGE ERIN DONNELLY
07/11/2025 PRN518519
JORDAN DRUMMOND
09/02/2025 PRN453089
SHANNON MICHELE DUBOIS
09/19/2025 PRN375830
SHARAYAH ROXANA DUBORD
09/18/2025 PRN474862
JOHNATHAN BLAKE EDWARDS
08/05/2025 PRN425732
REED EDWARDS
08/07/2025 PRN430001
EHEALTHINSURANCE SERVICES INC
07/01/2025 AGN68778
ROBERT T. ELCOMBE
09/21/2025 PRN490113
MCKINZIE LYNN ELLIOTT
09/11/2025 PRN454880
MOLLY I. ELLIOTT
07/11/2025 PRN518513
ADRIENNE ELLIS
09/19/2025 PRN464658
SHANICE L. ELLISON
09/19/2025 PRN469535
HARLEIGH J. ELLSWORTH
09/21/2025 PRN508371
SEAN D. ELLSWORTH
07/21/2025 PRN443646
ANDREW ERWIN
09/20/2025 PRN489612
PIERRE ETIER
07/07/2025 PRN427533
NOAH M. FAUTECK
09/21/2025 PRN459995
ANITRA DANIELLE FEATHERSTONE
09/18/2025 PRN466496
THOMAS J. FEHR
07/14/2025 PRN519028
MARK D. FILES
09/19/2025 PRN465317
FREDA FINE
07/15/2025 PRN223492
SCOTT RICHARD FISHKIN
09/19/2025 PRN118341
GILBERT FLORES
09/19/2025 PRN133845
STANLEY FLUKINGER
08/06/2025 PRN446370
ANDREW FORESTER
09/20/2025 PRN457982
SHIRLEY B. FORTSON
08/18/2025 PRN478257
FORWARD FINANCIAL, LLC
08/08/2025 AGN490044
CHARLES JAMES FOSTER
09/13/2025 PRN239339
EDWARD W. FOUKE
07/25/2025 PRN515451
JESSE A. FOX
07/25/2025 PRN519572
GEORGETTE D. FRANZE
09/19/2025 PRN431424
GREGORY ALLEN FRUSHOUR II
08/06/2025 PRN361086
THERESA ANN FURTH
09/22/2025 PRN375144
ANDREW STEPHEN GALGANO
10/07/2025 PRN407541
MICHAEL GARCIA-FELIZ
09/19/2025 PRN508365
BRIANA GARRETT
09/29/2025 PRN497156
BENJAMIN ELLIOT GASPER
09/08/2025 PRN227471
CORINDA GAULDEN
09/19/2025 PRN509176
KENT JOEL GELLER
08/05/2025 PRN352315
ROSA VALERIA GUADALUPE GIL
07/24/2025 PRN297437
CHRISTA DARNITA GLENN-FUGET
07/21/2025 PRN313610
IRENE GOLDEN
09/14/2025 PRN363138
ANTHONY DAVID GOMEZ
08/05/2025 PRN446384
CLEMENTE GOMEZ-RAMOS
09/11/2025 PRN447328
BRITTANY GOSSETT
09/18/2025 PRN484935
SCOTT BAILEY GRAMLING
10/05/2011 PRN67741
ROBERT HESTONIA GRAVELY IV
07/31/2025 PRN494591
ERIC REGINALD GRAVES SR
08/05/2025 PRN385052
ROBERT GRAY
09/15/2025 PRN422789
SPENCER EDWARD GRAY JR
04/24/2002 PRR31235
JACLYN L. GREEN
08/28/2025 PRN295860
KANIYA J. GREEN
09/03/2025 PRN525091
TONYA GREEN
09/23/2025 PRN478517
RYAN GREGORY
09/19/2025 PRN225949
BRIAN GRIMES
09/18/2025 PRN335214
NOELLE GUERRY
09/19/2025 PRN471425
SAMANTHA K. GUERRY
09/19/2025 PRN471426
ANTONIO GUTIERREZ
07/28/2025 PRN358471
JIMMY GUZMAN
09/09/2025 PRN446328
STEVEN JOSEPH HALAS
09/20/2025 PRN491495
RODNEY L. HALILA
09/18/2025 PRN339572
DOUGLAS CHANNING HALL
08/27/2025 PRN397527
BARBARA MCKAY HALLUM
09/19/2025 PRN459074
TIANA HAMM WILLIAMS
09/18/2025 PRN497901
TIMOTHY BRYAN HANKS
09/12/2025 PRN398744
SYDNEY HARDCASTLE
09/20/2025 PRN464332
ERIC ISAIAH HARRIS
08/22/2025 PRN463375
JEREMY HARSHMAN
09/24/2025 PRN474729
MALLORIE HEALY
09/18/2025 PRN351807
DENNIS CHARLES HEARNDON
09/17/2025 PRN350995
JOSEPH M. HEISLER
09/11/2025 PRN524134
DIANA KAY HELDENBRAND
09/24/2025 PRN437599
JARED LEE HENDERSON
08/24/2025 PRN522441
JILL ROSS HENDERSON
07/30/2025 PRN460005
CRYSTAL MARIA HERNANDEZ
09/17/2025 PRN446576
GEROME WILLIAM HICKS
09/20/2025 PRN489880
DARRYL HIGH
09/18/2025 PRN360888
HILB GROUP MEDICARE, LLC
08/26/2025 AGN379488
LAQUANDA RAEVONTA HOBSON
09/09/2025 PRN525371
DEBRA ROBICHAUX HOFFMAN
09/13/2025 PRN316402
SAMUEL HENRY HOLMES
10/02/2025 PRN359961
PATRICIA ANN HOOKS
08/07/2025 PRN446072
ABBIE JEAN HOWLAND
07/15/2025 PRN444569
BRYSON LAMAR HUNTER
09/19/2025 PRN398357
CORY G. HUSTON
09/29/2025 PRN339560
LAURA MICHELLE ILLINGWORTH
09/09/2025 PRN315255
LANEISA ANN JACKSON
09/18/2025 PRN397745
LARRY B. JAMES
09/13/2025 PRN498211
LUZCELIA JEANMINETTE
10/08/2025 PRN396147
YASMEINE MOHOGANY JENKINS
09/20/2025 PRN464329
HEATHER JEAN JOHNSON
07/30/2025 PRN468936
JAMES MICHAEL JOHNSON
09/05/2025 PRN436076
NOAH WESLEY JOHNSON
09/20/2025 PRN490035
DOUGLAS BRYAN JONES
08/05/2025 PRN293003
JASMINE SADE JONES
09/16/2025 PRN457045
DIANA JORDAN
09/21/2025 PRN276966
JOSEPH INSURANCE BROKER LLC
09/30/2025 AGN487675
PETER RAMSEY JOSEPH
09/30/2025 PRN355063
WANDA R. KASPERBAUER
09/12/2008 PRN126947
KENNEBUNK SAVINGS INSURANCE INC
03/01/2004 AGR12201
BRUCE M. KERN
09/30/2025 PRN259322
MOHAMMAD H. KHALID
09/17/2025 PRN393309
DAVID RUSSELL KIEFFER
09/20/2025 PRN491045
ROBERT R. KINSEY
11/10/2004 PRN49525
DEVRA KNOWLES
09/19/2025 PRN465009
JAMIESON LAQUINN KNOX
09/15/2025 PRN429298
WENDI A. KOTAK
09/14/2025 PRN501202
THOMAS R. KOZERA
06/25/2014 PRN38364
MARYEILEEN KUCERA
09/21/2025 PRN497487
MARC ALAN KURBIN
08/05/2025 PRN362218
ROBERT T. LAFRENZ
09/20/2025 PRN491062
MEGAN R. LAMB
07/18/2025 PRN468611
MASON MARTIN LAMBERT
09/20/2025 PRN380145
MELINDA LANDRUM
09/21/2025 PRN492088
AALIYAH LANGLEY
09/18/2025 PRN495220
SHERRI ANN LARSON
09/20/2025 PRN454673
BETH LAWSON
03/16/1999 PRR59326
JACOB THOMAS LAWTON
09/19/2025 PRN524310
JOHNETTA BANKS LEBLANC
08/05/2025 PRN449833
ROBERT RYAN THOMAS LEWIS
07/28/2025 PRN517987
STEPHEN GABRIEL LEWIS
07/29/2025 PRN132211
WILLIAM JAMES LEWKOWSKI
09/18/2025 PRN483032
DARREN SCOTT LIGHT
09/12/2025 PRR137624
MATTHEW L. LIPSKA
09/20/2025 PRN489924
MICHELLE ANN LOBER
08/24/2025 PRN306177
AARON RANDALL LOHMAN
09/20/2025 PRN443389
DANIEL L. LYCAN
09/19/2025 PRR78775
MARY JANE MACAPAGAL
08/27/2025 PRN522261
ASHLEY BEATRICE MACDONALD
09/21/2025 PRN327803
JOSEPH ALEXANDER MACKSOUD
07/03/2025 PRN131491
ANDREA MAGBA
10/03/2025 PRN460332
MICHAEL SCOTT MAHAN
08/08/2025 PRN278589
CORY H. MANGELSON
08/05/2025 PRN333645
KIMBERLY DAWN MARCUM
09/17/2025 PRN500302
MARINE UNDERWRITERS AGENCY INC
11/10/2004 AGN49584
MARSH USA LLC
08/24/2004 AGN37019
TAYLOR RUSSELL MARTIN
07/23/2025 PRN189432
GEENA MARTINEZ
09/25/2025 PRN489355
BRYAN MARTINEZ-PLANCARTE
09/17/2025 PRN446372
EBONI MAYO
09/18/2025 PRN503619
MAUREEN LORETTE MAZUR
09/25/2025 PRR156759
AMBER RENAE MCDERMOTT
09/19/2025 PRN348801
JOSEPH W. MCDERMOTT
09/19/2025 PRN291263
PATRICK JOSEPH MCDONALD
08/05/2025 PRN292284
GARRETT WAYNE MCKINZIE
09/19/2025 PRN432366
INFINI ROSE-ANNA MCNEILL
09/19/2025 PRN363149
ELIZABETH MEDINA
09/20/2025 PRN490033
MARA MEISTERBURG
03/05/2012 PRN200314
CATHERINA MARY MENDENHALL
09/13/2025 PRN205590
EZRA CHAVIERS MENDIOLA
07/29/2025 PRN297930
MARTIN EDWARD MEYER
07/29/2025 PRN492406
RACHEL CHRISTINE MILLER
08/03/2025 PRN495912
SHANA CHERIE MILLER
09/08/2025 PRN478267
SUSAN MILLET
09/18/2025 PRN330028
MARIESSA MORALES
09/18/2025 PRN504530
ELIZABETH MORAN
07/17/2025 PRN424168
MARK ANDREW MORRISSEY
09/28/2025 PRN430992
STEPHANIE MORROW
09/17/2025 PRN464318
DANA BOND MORTON
09/13/2025 PRN475333
THOMAS B. MOTT
01/22/2010 PRN146745
JOHN RAYMOND MUHA
06/07/1995 PRN42539
SARAH A. MULLINS
07/18/2025 PRN519599
ANTHONY C. MUNIZ
08/19/2025 PRN482614
KELSEY MUNSTERMAN
08/04/2025 PRN520256
DERRICK MUNTZ
08/27/2025 PRN395364
SPENCER HARRISON MURDOCK
09/02/2025 PRN492250
JULIE MURPHY
09/16/2025 PRN409416
MICHAEL EUGENE MURPHY
09/16/2025 PRN430000
ABBASALI MUSABJI
09/09/2025 PRN488403
JOSIAH ALEXANDER MUSICK
09/20/2025 PRN464234
CORTNEY DAWN MYERS
07/16/2025 PRN508355
NBOA MARINE INSURANCE AGENCY INC
02/13/2009 AGN51792
MICHAEL P. NEIGHBOURS
08/06/2025 PRN435566
NEISHLOSS & FLEMING LLC
07/30/2025 AGN190688
DOREEN NELSON
09/17/2025 PRN388210
SAMAN NEMOVI
10/03/2025 PRN444242
KELLY ANNE NEPTUNE
04/01/2001 PRR59972
SALVATORE NIGRO
09/14/2025 PRN395335
JACKELYN Q. NUDO
07/29/2025 PRN308702
JEANETTE O BRIEN
07/24/2025 PRN519435
NICHOLAS ROCCO OBERLE
09/19/2025 PRN432454
OCI INSURANCE AND FINANCIAL SERVICES, INC.
09/26/2025 AGN482250
WADE OESTREICH
08/05/2025 PRN430293
CHARLES M. OLSON
09/26/2025 PRN472579
ROBELL OPILAS
09/29/2025 PRN461313
ANGEL PARKEY
09/22/2025 PRN491034
ALEXIS LINDA PAVY-DOGAN
09/19/2025 PRN471424
JENNIFER RAE PAXTON
09/20/2025 PRN491508
MARY MARGARET PEREZ
09/28/2025 PRN362044
ROSE MARIE PEREZ
09/22/2025 PRN388754
REGINA PERRY
09/19/2025 PRN469478
ZEBULON M. PERSSON
09/20/2025 PRN448430
JACOB PETERSEN
08/06/2025 PRN384675
RONNIE PHELPS
09/18/2025 PRN293836
MATTHEW PHILLIPS
09/17/2025 PRN446400
RAYMOND M. PIEDMONT
09/20/2025 PRN493319
JUAN PIRELA ESTABA
08/05/2025 PRN520320
NATALIYA PIVOVAR
09/22/2025 PRN514439
CRYSTAL DIAMANTINA POMAR
09/16/2025 PRN273818
PREMIER SENIOR MARKETING LLC
07/23/2025 AGN62992
DENNIS LEE PRICE JR
04/08/2020 PRN133900
PRO INSURANCE RESOURCES, LLC
08/21/2025 AGN352130
WILLIAM HENRY PROPPER III
07/03/2025 PRN233509
MARCO ANTONIO RAMOS RAMIREZ
09/15/2025 PRN512584
HAILEE RAMOS-LARSON
09/20/2025 PRN484188
SHAWN W. RAY
09/17/2025 PRN207482
BRIAN EDWARD RAYMER
08/05/2025 PRN351756
MICHAEL REDD
10/03/2025 PRN457911
MORGAN REEKIE
07/28/2025 PRN469970
VERNON RICHARDSON
09/17/2025 PRN472632
TINA MARIE RISSEEUW
09/21/2025 PRN511709
CORBETT ROBBINS
08/04/2025 PRN489096
BRANDON AUSTIN ROBERSON
09/20/2025 PRN457201
DAPHNE L. ROBERSON
09/12/2025 PRN237368
CORA ROBERTS
09/17/2025 PRN385543
DEWAYNE CHANCE ROBERTS
09/22/2025 PRN485044
SHARON ROBERTSON
09/17/2025 PRN461867
IONUT ROMAN
09/17/2025 PRN359609
ZACHARY ROME
09/19/2025 PRN272677
JOSHUA DAVIS ROOF
09/20/2025 PRN443414
BRENDEN ROOT-BURKS
09/17/2025 PRN358908
RABEKA ROSE ROSEAN
08/06/2025 PRN336026
WILLIAM HOLTEN RUSHING
09/24/2025 PRN474892
RICHARD CRAIG RYDZESKI
09/19/2025 PRN144814
CHRISTINA M. SAAVEDRA
09/22/2025 PRN456930
ETHAN DANIEL SALVINO
09/20/2025 PRN489862
ELLEANOR SAYLOR
09/18/2025 PRN521322
KIMBERLY JO SCHIAZZA
09/20/2025 PRN457965
THOMAS ALAN SCHUETH
07/23/2025 PRN113307
EMILY SCHULENBERG
09/18/2025 PRN463775
JON SCOGGINS
09/17/2025 PRN464481
DIANA RUTH SCOTHORN
09/17/2025 PRN324918
ANNIE CHRISTINE SCOTT
09/20/2025 PRN392265
THERESE MARIE SEIBER
09/17/2025 PRN461207
JORDAN SEIFERT
09/19/2025 PRN432443
HOWARD P. SEIGLE
09/19/2025 PRN390177
SENIOR SECURITY BENEFITS LLC
07/23/2025 AGN212224
NADIRA ARIFAH SHABAZZ
07/30/2025 PRN404629
EDWARD LEE SHACKELFORD
08/27/2025 PRN24933
DEREK SHAKHSHIRE
07/09/2025 PRN498024
CAITLIN DAWN SHEFFY
09/21/2025 PRN418336
CHRISTOPHER SHORT
09/15/2025 PRN292859
ALEXANDER PAUL SIMES
09/24/2025 PRN522817
MARIE ANN SIMMS
07/28/2025 PRN519588
AARON MICHAEL SIMS
07/10/2025 PRN280806
ALICIA D. SITTON
09/19/2025 PRN334035
HANNAH NICOLE SKINNER
09/20/2025 PRN488239
MEGAN A. SLIFE
08/04/2025 PRN520953
ERIKA LYNN SMILEY
09/21/2025 PRN510917
CHERYL A. SMITH
09/21/2025 PRN286307
DANIEL SMITH
09/17/2025 PRN425341
DAVID SMITH
08/06/2025 PRN317522
DEVONA NIESHA SMITH
07/18/2025 PRN383928
LOREN E. SMITH
09/19/2025 PRN474593
MATTHEW DON SMITH
09/15/2025 PRN474694
NIKOLE DOMINIQUE SMITH
09/18/2025 PRN496308
OWEN WILLIAM SMITH
10/01/2025 PRN478243
SCOTT SMITH
07/10/2025 PRN362968
SHANE SMITH
09/13/2025 PRN486656
TYLER JACOB SMITH
08/04/2025 PRN277301
EPHRAM BRETT SNOWDEN
09/21/2025 PRN84234
JAMES ARTHUR SOUCY
08/26/2025 PRN280404
BRENDA SPARKS
09/13/2025 PRN367817
DEBRA ANN SPARKS
09/18/2025 PRN169093
JARED SPARKS
09/17/2025 PRN475059
WILLIAM ROBERT SPARKS
09/22/2025 PRN462419
SPECIALTY PROGRAM GROUP LLC
06/30/2021 AGN278764
AUTUMN STOOPS
08/04/2025 PRN521791
DAVID M. STREHLOW
09/19/2025 PRN432359
KATHLEEN STRICKLER
10/06/2025 PRN447330
MICHAEL DEWITT SUTLIFF
09/18/2025 PRN351644
BRIANNA SUTTON
07/14/2025 PRN518494
STEPHEN KENT SWANSON
09/20/2025 PRN443511
ANNY C. TAPIA
09/22/2025 PRN436978
WILLIAM TERPENNY
07/27/2025 PRN195213
SHANICE THOMAS
09/18/2025 PRN465679
STEPHEN THURMOND
08/08/2025 PRN276609
KEN R. TOMBERLIN
09/19/2025 PRN227589
KAYLA LEA TORRY
09/05/2025 PRN494585
ANNA TRING
07/16/2025 PRN487095
TROUTMAN & ASSOCIATES INC
12/14/2001 AGN81538
RANDALL D. TROUTMAN
12/14/2001 PRN81537
MONICA LISA TURNER
07/18/2025 PRN520368
TWENTY FOUR HOUR LLC
10/03/2025 AGN519333
TANISHIA MARIE TYLER
07/21/2025 PRN508689
OLIVIA MARIE UNSETH
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JOLIEANN LAURA VALENTO
09/19/2025 PRN441094
FRANCIS CEDRIC VALERIO
09/08/2025 PRN196247
MICHAEL ANTHONY VALLEJO
09/22/2025 PRN491102
MARK VANEPPS
05/17/2006 PRN126796
SCOTT COLEMAN VLCEK
09/14/2025 PRR482795
ROBERT JAMES VOGT
07/28/2025 PRN436087
HAILEY WAGONER
09/18/2025 PRN495886
KRYSTAL WALL
08/05/2025 PRN327614
BRYANA BRYREL WATKIS
09/19/2025 PRN508403
ROBERT MICHAEL WEBSTER
09/16/2025 PRN362052
ROGER ALAN WEIL
08/05/2025 PRN425645
CHRISTINE L. WELLS
08/06/2025 PRN291764
DESTINY WELLS
09/18/2025 PRN495551
DONNA LEE WELLS
09/14/2025 PRR408408
BROCK WEST
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LATORSHIA WHITE
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MICHAEL ANTHONY WHITE
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RENEE A. WIGGINS
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CASEY WILDER
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MEGAN WILKINS
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ZACKARY NATHAN WILLEMS
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CHRISTA WILLIAMS
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LAURA LYNNE WILLIAMS
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LUCAS WILLIAMS
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BILLIE LAKE WILSON
08/27/2025 PRN493844
BRYCE ROBERT WILSON
08/04/2025 PRN457208
ELIZABETH WILSON
09/18/2025 PRN503607
NOAH AUSTIN WILSON
08/28/2025 PRN443450
PAMELA ANN WILSON
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DOMINIC VINCENT WIMBISH
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ANGELA LEE WINDETT
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KERCHSTIN MARIE WIPPERFURTH
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BRAD ANTHONY WITECHA
09/19/2025 PRN186129
JACOB M. WOMBACKER
07/14/2025 PRN374555
AMBER MICHELLE WOODALL
09/19/2025 PRN374176
MATT WOODS
09/13/2025 PRN500343
JENNIFER ROSE YOUNTS
07/01/2025 PRN421295
MICHAEL L. ZAMORA
09/21/2025 PRN444221
REYNA CHRISTINA ZAVALA
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CHRISTOPHER ZELLER
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DEAN LOUIS ZEURCHER
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Supervised Entity

None.

Authority

Description Issue Date Termination Date Status Additional Information
HEALTH 03/01/1996 Active
FIRE 03/01/1996 Active
ALLIED LINES 03/01/1996 Active
FARMOWNERS MULTIPLE PERIL 03/01/1996 Active
HOMEOWNERS MULTIPLE PERIL 03/01/1996 Active
COMMERCIAL MULTIPLE PERIL 03/01/1996 Active
OCEAN MARINE 03/01/1996 Active
INLAND MARINE 03/01/1996 Active
MEDICAL MALPRACTICE 03/01/1996 Active
EARTHQUAKE 03/01/1996 Active
WORKERS COMPENSATION 05/21/1997 Active
OTHER LIABILITY 03/01/1996 Active
PRODUCTS LIABILITY 03/01/1996 Active
AUTO LIABILITY 03/01/1996 Active
AUTO PHYS DAMAGE 03/01/1996 Active
AIRCRAFT (ALL PERILS) 03/01/1996 Active
FIDELITY 03/01/1996 Active
SURETY 03/01/1996 Active
GLASS 03/01/1996 Active
BURGLARY AND THEFT 03/01/1996 Active
BOILER AND MACHINERY 03/01/1996 Active
CREDIT 03/01/1996 Active
FEDERAL FLOOD INSURANCE 09/05/1997 Active
LIMITED TO HOME STATE 12/31/1992 03/01/1996 Terminated
Designated State

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

Contacts

Type Contact
PRODUCER LICENSING CONTACT THOMAS CORR
THOMAS CORR
436 WALNUT ST # WA04B
PHILADELPHIA, PA 19106-3703
Phone: +1 (215) 640-2590
Fax: +1 (215) 640-2795
Email: tom.corr@chubb.com
WORKERS COMPENSATION CLAIMS DANIEL HAWTHORNE
INSURANCE COMPANY OF NORTH AMERICA
1 BEAVER VALLEY RD
WILMINGTON, DE 19803-1115
Phone: +1 (302) 476-6658
Email: claimscompliance@chubb.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

Case Action Taken Date
RIRS-1761 Consent Order 02/28/2013

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
22713

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: 10/09/2025 04:00:07 PM