black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

PERSONAL COVERAGE INC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN92863
Status:
First Licensure:
02/12/2003
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
800 ROUTE 146 STE 284
CLIFTON PARK, NY 12065-3905
Mailing:
PO BOX 564
BALLSTON SPA, NY 12020-0564
Phone:
+1 (518) 490-1018
Fax:
+1 (518) 288-1468
Email:
twallace@personalcoverage.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 02/12/2003 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
FEDERAL INSURANCE COMPANY
02/21/2003 PCF439 08/13/2013
OHIO SECURITY INSURANCE COMPANY
04/04/2025 PCF200581

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
THOMAS F. WALLACE JR
02/12/2003 PRN92862

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
THOMAS F. WALLACE JR PRN92862

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
3486008

Other Phone Numbers

Phone Number Type
+1 (518) 490-1018 x404 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: 12/23/2025 04:36:07 AM