black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

MARY JANE COULOMBE

PRODUCER RESIDENT

License Number:
PRR155431
Status:
First Licensure:
07/03/2008
Cancel Date:
None
Renewal Date:
10/31/2025

Continuing Education:
Required by 10/31/2025
Hours Required:
Ethics:
3
Total Required:
24
Hours Acquired:
Ethics:
0
Total Acquired:
0

Mailing:
LEWISTON, ME 04240
Phone:
+1 (207) 783-9991
Email:
maryjanecoulombe@unitedinsurance.net

History

License Type Start Date End Date
PRODUCER RESIDENT 07/03/2008 10/31/2025

Agency

Name Issue Date License Number Expiration Date Cancel Date
D&H INSURANCE LLC
07/03/2008 AGR137670 10/23/2013
D&H INSURANCE LLC
06/20/2015 AGR137670 07/19/2022
DANIELS & HOWE INSURANCE AGENCY
06/20/2015 AGR11285 07/19/2022
KIMBALL KORP
09/30/2021 AGR396434
UIG INC
03/05/2025 AGR123009

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN ECONOMY INSURANCE COMPANY
08/10/2021 PCF363 10/10/2024
AMERICAN ECONOMY INSURANCE COMPANY
01/10/2025 PCF363
AMERICAN FIRE AND CASUALTY COMPANY
06/20/2014 PCF200822 02/22/2017
AMERICAN MILLENNIUM INSURANCE COMPANY
10/09/2023 PCF238775 01/27/2025
AMERICAN MODERN PROPERTY & CASUALTY INSURANCE COMPANY
12/22/2022 PCF234561
AMERICAN RELIABLE INSURANCE COMPANY
11/26/2019 PCF45416 04/26/2021
ANSUR AMERICA INSURANCE COMPANY
02/27/2024 PCF95773
THE AUTOMOBILE INSURANCE COMPANY OF HARTFORD, CONNECTICUT
03/30/2020 PCF659
BRISTOL WEST INSURANCE COMPANY
02/24/2010 PCF78370
CONCORD GENERAL MUTUAL INSURANCE COMPANY
08/14/2008 PCF416 01/27/2012
CONCORD GENERAL MUTUAL INSURANCE COMPANY
01/17/2018 PCF416
COUNTRYWAY INSURANCE COMPANY
04/10/2018 PCF98
DAIRYLAND INSURANCE COMPANY
11/10/2021 PCF721
EXCELSIOR INSURANCE COMPANY
10/23/2008 PCF46786 02/22/2017
FARMERS CASUALTY INSURANCE COMPANY
05/18/2010 PCF895 03/14/2012
FARMERS CASUALTY INSURANCE COMPANY
02/16/2023 PCF895
FARMERS DIRECT PROPERTY AND CASUALTY INSURANCE COMPANY
02/16/2023 PCF267721
FARMERS PROPERTY AND CASUALTY INSURANCE COMPANY
05/18/2010 PCF714 03/14/2012
FARMERS PROPERTY AND CASUALTY INSURANCE COMPANY
02/16/2023 PCF714
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
12/17/2009 PCF445
FOREMOST PROPERTY AND CASUALTY INSURANCE COMPANY
12/21/2009 PCF37337 01/07/2010
FRANKENMUTH INSURANCE COMPANY
12/12/2008 PCF83684 04/02/2014
FRANKENMUTH INSURANCE COMPANY
05/19/2021 PCF83684
GREEN MOUNTAIN INSURANCE COMPANY INC
08/14/2008 PCF73 01/27/2012
GREEN MOUNTAIN INSURANCE COMPANY INC
01/17/2018 PCF73
MAIN STREET AMERICA ASSURANCE COMPANY
08/04/2008 PCF997
MAIN STREET AMERICA PROTECTION INSURANCE COMPANY
05/10/2016 PCF235440
METROPOLITAN GENERAL INSURANCE COMPANY
05/18/2010 PCF893 03/14/2012
MIDVALE INDEMNITY COMPANY
09/15/2020 PCF79410
NETHERLANDS INSURANCE COMPANY
10/23/2008 PCF827 02/22/2017
NGM INSURANCE COMPANY
08/04/2008 PCF86
NORTHERN SECURITY INSURANCE COMPANY INC
08/31/2022 PCF36
OHIO CASUALTY INSURANCE COMPANY
06/08/2023 PCF73059
OHIO SECURITY INSURANCE COMPANY
06/20/2014 PCF200581 02/22/2017
PATRIOT INSURANCE COMPANY
08/28/2008 PCD208274 04/02/2014
PATRIOT INSURANCE COMPANY
05/19/2021 PCD208274
PATRONS OXFORD INSURANCE COMPANY
07/16/2008 PCD7 11/18/2011
PATRONS OXFORD INSURANCE COMPANY
05/22/2018 PCD7
PEERLESS INDEMNITY INSURANCE COMPANY
10/23/2008 PCF97399 02/22/2017
PEERLESS INSURANCE COMPANY
10/23/2008 PCF548 02/22/2017
PROGRESSIVE NORTHERN INSURANCE COMPANY
07/30/2008 PCF51006
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
07/30/2008 PCF27738
THE STANDARD FIRE INSURANCE COMPANY
03/30/2020 PCF584
STATE MUTUAL INSURANCE COMPANY
08/14/2008 PCD102 01/27/2012
STATE MUTUAL INSURANCE COMPANY
01/17/2018 PCD102
THE TRAVELERS HOME AND MARINE INSURANCE COMPANY
03/30/2020 PCF56556
TRAVELERS PERSONAL INSURANCE COMPANY
03/30/2020 PCF201268
TWIN CITY FIRE INSURANCE COMPANY
10/28/2018 PCF963 02/06/2020
TWIN CITY FIRE INSURANCE COMPANY
02/09/2020 PCF963 06/04/2021
UNITED FINANCIAL CASUALTY COMPANY
07/30/2008 PCF61704 03/31/2012
VERMONT ACCIDENT INSURANCE COMPANY INC
08/14/2008 PCF883 01/27/2012
VERMONT ACCIDENT INSURANCE COMPANY INC
01/17/2018 PCF883
VERMONT MUTUAL INSURANCE COMPANY
08/31/2022 PCF37
WEST AMERICAN INSURANCE COMPANY
06/20/2014 PCF200576 02/22/2017

Authority

Description Issue Date Termination Date Status
CASUALTY 07/03/2008 Active
PROPERTY 07/03/2008 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
11084350

Other Addresses

Address Type
LEWISTON, ME 04240
Office

CE Courses

None.

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: 05/15/2025 07:46:28 AM