black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

GRACE E. MIJAL

PRODUCER LIMITED NON-RESIDENT

License Number:
PLN159793
Status:
First Licensure:
10/30/2008
Cancel Date:
None

Mailing:
STEVENS POINT, WI 54482
Phone:
+1 (715) 295-5977
Fax:
+1 (715) 345-0522
Email:
corporatelicensing@travelguard.com

History

License Type Start Date End Date
PRODUCER LIMITED NON-RESIDENT 10/30/2008

Agency

Name Issue Date License Number Expiration Date Cancel Date
TRAVEL GUARD GROUP INC
10/30/2008 AGN65266

Employer

Name Issue Date License Number Expiration Date Cancel Date
INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA
01/31/2012 PCF482
NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH PA
01/06/2009 PCF527

Authority

Description Issue Date Termination Date Status
TRAVEL AND BAGGAGE 10/30/2008 Active

License/Disciplinary Action

None.

PRODUCER NON-RESIDENT

License Number:
PRN192484
Status:
First Licensure:
07/29/2011
Cancel Date:
None

Mailing:
STEVENS POINT, WI 54482
Phone:
+1 (715) 295-5977
Fax:
+1 (715) 345-0522
Email:
corporatelicensing@travelguard.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 07/29/2011

Agency

Name Issue Date License Number Expiration Date Cancel Date
TRAVEL GUARD GROUP INC
07/29/2011 AGN65266

Employer

None.

Authority

Description Issue Date Termination Date Status
CASUALTY 07/29/2011 Active
HEALTH 07/29/2011 Active
PROPERTY 07/29/2011 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
10559890

Other Addresses

Address Type
3300 BUSINESS PARK DR
STEVENS POINT, WI 54482-8851
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: 05/20/2025 11:46:49 PM