black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JESSICA AUTUMN ROTH

PRODUCER NON-RESIDENT

License Number:
PRN203364
Status:
First Licensure:
05/23/2012
Cancel Date:
None

Mailing:
HAUPPAUGE, NY 11788
Phone:
+1 (631) 435-4500
Email:
jroth@clarionins.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 05/23/2012

Agency

Name Issue Date License Number Expiration Date Cancel Date
ACRISURE LLC
07/31/2018 AGN160630
CLARION ASSOCIATES INC
05/23/2012 AGN114653 09/11/2012

Employer

None.

Authority

Description Issue Date Termination Date Status
CASUALTY 05/23/2012 Active
PROPERTY 05/23/2012 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
16558496

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: 10/30/2025 09:39:19 AM