black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

ERIC A. SEMPLE

PRODUCER NON-RESIDENT

License Number:
PRN51554
Status:
First Licensure:
09/08/1994
Cancel Date:
None

Mailing:
WESTFORD, MA 01886
Phone:
+1 (978) 692-3073

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 10/01/1997

Agency

Name Issue Date License Number Expiration Date Cancel Date
WESTFORD INSURANCE AGENCY INC
10/15/1997 AGN40188 07/01/2017

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN MODERN HOME INSURANCE COMPANY
10/27/2016 PCF808 10/28/2021
AMERICAN RELIABLE INSURANCE COMPANY
02/04/2011 PCF45416 01/14/2021
FARMERS INSURANCE EXCHANGE FARMERS GROUP INC
09/09/2008 IIF106 03/21/2012
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
03/31/1998 PCF445
MAIN STREET AMERICA ASSURANCE COMPANY
04/08/2020 PCF997
MAIN STREET AMERICA PROTECTION INSURANCE COMPANY
04/08/2020 PCF235440
NGM INSURANCE COMPANY
04/08/2020 PCF86
PATRONS OXFORD INSURANCE COMPANY
09/30/2002 PCD7 09/25/2019
TRUCK INSURANCE EXCHANGE TRUCK UNDERWRITERS ASSOCIATION
09/09/2008 IIF107 10/19/2012

Authority

Description Issue Date Termination Date Status
CASUALTY 10/15/1997 Active
HEALTH 10/15/1997 Active
LIFE 10/15/1997 Active
PROPERTY 10/15/1997 Active
INDEPENDENT PRODUCER 10/01/1997 09/28/2011 Terminated

License/Disciplinary Action

None.

PRODUCER NON-RESIDENT

License Number:
PRN40189
First Licensure:
09/08/1994
Cancel Date:
10/01/1997
Renewal Date:
01/01/1998

Mailing:
WESTFORD, MA 01886
Phone:
+1 (978) 692-3073

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 03/11/1996 09/30/1997
*** NOT ACTIVE *** 01/01/1996 03/10/1996
PRODUCER NON-RESIDENT 09/08/1994 12/31/1995

Agency

Name Issue Date License Number Expiration Date Cancel Date
WESTFORD INSURANCE AGENCY INC
09/09/1994 AGN40188 01/01/1996
WESTFORD INSURANCE AGENCY INC
03/11/1996 AGN40188 10/01/1997

Employer

None.

Authority

Description Issue Date Termination Date Status
INDEPENDENT PRODUCER 03/11/1996 10/01/1997 Terminated
INDEPENDENT PRODUCER 09/08/1994 01/01/1996 Terminated
PROPERTY AND CASUALTY 03/11/1996 10/01/1997 Terminated
PROPERTY AND CASUALTY 09/08/1994 01/01/1996 Terminated

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
3354814

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: 05/16/2025 09:31:42 PM