black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

THOMAS MATTHEW ALLEN

PRODUCER NON-RESIDENT

License Number:
PRN62092
Status:
First Licensure:
04/27/1999
Cancel Date:
None

Mailing:
SEATTLE, WA 98117
Phone:
+1 (425) 649-5903
Email:
seslicensing@gaig.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 04/27/1999

Agency

Name Issue Date License Number Expiration Date Cancel Date
PREMIER LEASE & LOAN SERVICES INSURANCE AGENCY INC
07/13/1999 AGN16991

Employer

Name Issue Date License Number Expiration Date Cancel Date
GREAT AMERICAN ALLIANCE INSURANCE COMPANY
02/07/2007 PCF46804
GREAT AMERICAN ASSURANCE COMPANY
05/11/1999 PCF702
GREAT AMERICAN INSURANCE COMPANY
02/07/2007 PCF764
GREAT AMERICAN INSURANCE COMPANY OF NEW YORK
07/06/2016 PCF326 08/16/2019
GREAT AMERICAN SECURITY INS CO
02/09/2007 PCF47084
GREAT AMERICAN SPIRIT INSURANCE COMPANY
02/07/2007 PCF46805

Authority

Description Issue Date Termination Date Status
CASUALTY 04/27/1999 Active
PROPERTY 04/27/1999 Active

Responsible For

Name License Number
PREMIER LEASE & LOAN SERVICES INSURANCE AGENCY INC AGN16991

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
690680

Other Addresses

Address Type
3326 160TH AVE SE
BELLEVUE, WA 98008-6418
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 09:28:05 PM