black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

SAMANTHA ALYCE FULLER

PRODUCER NON-RESIDENT

License Number:
PRN486433
Status:
First Licensure:
06/12/2024
Cancel Date:
None

Mailing:
NORTH OLMSTED, OH 44070
Phone:
+1 (802) 658-3500
Fax:
+1 (802) 658-0541
Email:
sfuller@hbinsurance.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 06/12/2024

Agency

Name Issue Date License Number Expiration Date Cancel Date
ACRISURE LLC
06/13/2024 AGN160630
ACRISURE NEW ENGLAND PARTNERS INSURANCE SERVICES, LLC
02/18/2025 AGN451874

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN STRATEGIC INSURANCE CORP
10/25/2024 PCF258492

Authority

Description Issue Date Termination Date Status
CASUALTY 06/12/2024 Active
PROPERTY 06/12/2024 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
17346800

Other Addresses

Address Type
618 S MAIN ST
STOWE, VT 05672-5070
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 04:40:59 PM