black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JASON M. MLOCEK

PRODUCER NON-RESIDENT

License Number:
PRN116271
Status:
Active
First Licensure:
07/25/2005
Cancel Date:
None

Mailing:
SALEM, NH 03079
Phone:
+1 (603) 890-6439
Fax:
+1 (603) 890-6521

History
License Type Start Date End Date
PRODUCER NON-RESIDENT 07/25/2005

Agency

None.

Employer
Name Issue Date License Number Expiration Date Cancel Date
AMERICAN FIRE AND CASUALTY COMPANY
 09/18/2014 PCF200822
AMGUARD INSURANCE COMPANY
 05/14/2020 PCF51460
AMTRUST INSURANCE COMPANY
 09/20/2022 PCF260762
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
 04/06/2022 PCF445
NATIONWIDE AFFINITY INSURANCE COMPANY OF AMERICA
 02/20/2009 PCF34188 02/01/2010
NATIONWIDE GENERAL INSURANCE COMPANY
 02/20/2009 PCF30 02/01/2010
NATIONWIDE MUTUAL FIRE INSURANCE COMPANY
 02/20/2009 PCF31 02/21/2009
NATIONWIDE MUTUAL INSURANCE COMPANY
 02/20/2009 PCF32 02/21/2009
NATIONWIDE PROPERTY & CASUALTY INSURANCE COMPANY
 02/20/2009 PCF151089 02/01/2010
NETHERLANDS INSURANCE COMPANY
 12/30/2013 PCF827 04/26/2024
NORGUARD INSURANCE COMPANY
 05/14/2020 PCF51459
OHIO CASUALTY INSURANCE COMPANY
 09/18/2014 PCF73059 12/09/2022
OHIO SECURITY INSURANCE COMPANY
 09/18/2014 PCF200581
PEERLESS INSURANCE COMPANY
 12/30/2013 PCF548
PROGRESSIVE NORTHERN INSURANCE COMPANY
 09/21/2010 PCF51006 07/20/2018
PROGRESSIVE NORTHERN INSURANCE COMPANY
 07/31/2018 PCF51006
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
 09/21/2010 PCF27738 07/20/2018
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
 07/31/2018 PCF27738
SECURITY NATIONAL INSURANCE COMPANY
 09/20/2022 PCF189490
SEQUOIA INSURANCE COMPANY
 09/20/2022 PCF128467
THE STANDARD FIRE INSURANCE COMPANY
 05/09/2019 PCF584
TECHNOLOGY INSURANCE COMPANY INC
 09/20/2022 PCF136874
WESCO INSURANCE COMPANY
 09/20/2022 PCF49735
WEST AMERICAN INSURANCE COMPANY
 09/18/2014 PCF200576

Authority
Description Issue Date Termination Date Status
CASUALTY 07/25/2005 Active
HEALTH 07/25/2005 Active
LIFE 07/25/2005 Active
PROPERTY 07/25/2005 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
6378183

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: 05/15/2025 07:09:04 PM