black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

DONNA L. BLOUIN

PRODUCER NON-RESIDENT

License Number:
PRN249810
Status:
First Licensure:
05/02/2015
Cancel Date:
None

Mailing:
KEENE, NH 03431
Phone:
+1 (603) 358-1927
Fax:
+1 (603) 355-3478
Email:
blouind@msagroup.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 06/26/2019
*** NOT ACTIVE *** 11/17/2017 06/25/2019
PRODUCER NON-RESIDENT 05/02/2015 11/16/2017

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
MAIN STREET AMERICA ASSURANCE COMPANY
05/07/2015 PCF997 11/17/2017
MAIN STREET AMERICA ASSURANCE COMPANY
06/27/2019 PCF997 12/09/2022
MAIN STREET AMERICA PROTECTION INSURANCE COMPANY
04/06/2016 PCF235440 11/17/2017
MAIN STREET AMERICA PROTECTION INSURANCE COMPANY
06/27/2019 PCF235440 12/09/2022
NGM INSURANCE COMPANY
05/07/2015 PCF86 11/17/2017
NGM INSURANCE COMPANY
06/27/2019 PCF86 12/09/2022
UNION MUTUAL FIRE INSURANCE COMPANY
10/10/2023 PCF95

Authority

Description Issue Date Termination Date Status
CASUALTY 06/26/2019 Active
PROPERTY 06/26/2019 Active
CASUALTY 05/02/2015 11/17/2017 Terminated
PROPERTY 05/02/2015 11/17/2017 Terminated

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
6381343

Other Addresses

Address Type
KEENE, NH 03431
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: 05/24/2025 08:25:51 PM