black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

THOMAS F. WALLACE JR

PRODUCER NON-RESIDENT

License Number:
PRN92862
Status:
First Licensure:
02/12/2003
Cancel Date:
None

Mailing:
BALLSTON LAKE, NY 12019
Phone:
+1 (518) 490-1018
Fax:
+1 (518) 288-1468

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 02/12/2003

Agency

Name Issue Date License Number Expiration Date Cancel Date
PERSONAL COVERAGE INC
02/12/2003 AGN92863

Employer

Name Issue Date License Number Expiration Date Cancel Date
FEDERAL INSURANCE COMPANY
02/21/2003 PCF439 08/13/2013
OHIO SECURITY INSURANCE COMPANY
02/03/2017 PCF200581

Authority

Description Issue Date Termination Date Status
CASUALTY 02/12/2003 Active
PROPERTY 02/12/2003 Active

Responsible For

Name License Number
PERSONAL COVERAGE INC AGN92863

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
5723507

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: 12/04/2025 03:13:47 PM