black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

MARY LOU D. PEASE

PRODUCER NON-RESIDENT

License Number:
PRN436180
Status:
First Licensure:
11/03/2022
Cancel Date:
None

Mailing:
MALTA, NY 12020
Phone:
+1 (518) 641-1961
Fax:
+1 (518) 347-9030
Email:
m.pease@effectivecoverage.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 11/03/2022

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
CENTURY-NATIONAL INSURANCE COMPANY
10/11/2023 PCF248364
SELECTIVE INSURANCE COMPANY OF NEW YORK
12/11/2025 PCF437

Authority

Description Issue Date Termination Date Status
CASUALTY 11/03/2022 Active
PROPERTY 11/03/2022 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
18524198

Other Addresses

Address Type
17 BRITISH AMERICAN BLVD
LATHAM, NY 12110-1463
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: 12/22/2025 06:09:42 AM