black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

COLLETTE MILDRED HAGEN

PRODUCER NON-RESIDENT

License Number:
PRN385016
Status:
First Licensure:
06/05/2021
Cancel Date:
None

Mailing:
BOSTON, MA 02116
Phone:
+1 (800) 332-3226
Fax:
+1 (800) 332-3226
Email:
collette.hagen@libertymutual.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 06/05/2021

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN ECONOMY INSURANCE COMPANY
06/13/2021 PCF363 10/01/2021
AMERICAN FIRE AND CASUALTY COMPANY
06/13/2021 PCF200822
AMERICAN STATES INSURANCE COMPANY
06/13/2021 PCF377 07/09/2021
EXCELSIOR INSURANCE COMPANY
06/13/2021 PCF46786 04/26/2024
GENERAL INSURANCE COMPANY OF AMERICA
06/13/2021 PCF447
NETHERLANDS INSURANCE COMPANY
06/13/2021 PCF827 10/01/2021
OHIO CASUALTY INSURANCE COMPANY
06/13/2021 PCF73059
OHIO SECURITY INSURANCE COMPANY
06/13/2021 PCF200581
PEERLESS INDEMNITY INSURANCE COMPANY
06/13/2021 PCF97399 10/01/2021
PEERLESS INSURANCE COMPANY
06/13/2021 PCF548 10/01/2021
WEST AMERICAN INSURANCE COMPANY
06/13/2021 PCF200576

Authority

Description Issue Date Termination Date Status
CASUALTY 06/05/2021 Active
PROPERTY 06/05/2021 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
18362047

Other Addresses

Address Type
24021 E MISSION AVE
LIBERTY LAKE, WA 99019-9529
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: 05/13/2025 12:23:04 PM