black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

SUSAN GJELSVIK

PRODUCER NON-RESIDENT

License Number:
PRN77248
Status:
First Licensure:
03/26/2001
Cancel Date:
None

Mailing:
MORRISTOWN, NJ 07963
Phone:
+1 (973) 539-9300
Fax:
+1 (973) 871-1569

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 03/26/2001

Agency

Name Issue Date License Number Expiration Date Cancel Date
JAMES A CONNORS ASSOCIATES INC
11/09/2007 AGN104162 07/01/2023
MALOY RISK SERVICES INC
03/26/2001 AGN68404 06/08/2001
SPECIALTY PROGRAM GROUP LLC
05/19/2025 AGN278764

Employer

Name Issue Date License Number Expiration Date Cancel Date
THE CHARTER OAK FIRE INSURANCE COMPANY
09/07/2004 PCF403 12/02/2004
THE PHOENIX INSURANCE COMPANY
09/07/2004 PCF557 12/02/2004
TRAVELERS CASUALTY AND SURETY COMPANY
09/07/2004 PCF348 12/02/2004
TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA
09/07/2004 PCF974 12/02/2004
THE TRAVELERS INDEMNITY COMPANY OF AMERICA
09/07/2004 PCF585 12/02/2004
THE TRAVELERS INDEMNITY COMPANY OF CONNECTICUT
09/07/2004 PCF435 12/02/2004
THE TRAVELERS INDEMNITY COMPANY
09/07/2004 PCF602 12/02/2004
TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA
09/07/2004 PCF711 12/02/2004
VALLEY FORGE INSURANCE COMPANY
12/20/2021 PCF612

Authority

Description Issue Date Termination Date Status
CASUALTY 03/26/2001 Active
PROPERTY 03/26/2001 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
1996874

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: 06/08/2025 11:22:03 PM