black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

HISCOX INC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN121987
Status:
First Licensure:
12/16/2005
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
5 CONCOURSE PKWY STE 2150
ATLANTA, GA 30328-7107
Mailing:
5 CONCOURSE PKWY STE 2150
ATLANTA, GA 30328-7107
Phone:
+1 (646) 560-9330
Fax:
+1 (212) 922-9652
Email:
uscompliance@hiscox.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 12/16/2005 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
FEDERATED MUTUAL INSURANCE COMPANY
03/03/2016 PCF64
GREAT AMERICAN INSURANCE COMPANY
08/16/2010 PCF764
HARTFORD ACCIDENT & INDEMNITY COMPANY
06/19/2023 PCF462
HARTFORD UNDERWRITERS INSURANCE COMPANY
06/27/2023 PCF992
HISCOX INSURANCE COMPANY INC
06/01/2008 PCF985
STATE NATIONAL INSURANCE COMPANY INC.
09/29/2006 PCF75933

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
KATHLEEN T. RAY
06/21/2018 PRN135949
JOSEPH ANTHONY TINA
09/06/2024 PRN491252

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
JOSEPH ANTHONY TINA PRN491252

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
8605505

Other Phone Numbers

Phone Number Type
+1 (404) 410-2800 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: 05/14/2025 05:19:59 PM