black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

MAXWELL BRENNER

PRODUCER NON-RESIDENT

License Number:
PRN466311
Status:
First Licensure:
10/07/2023
Cancel Date:
None

Mailing:
NEW YORK, NY 10003
Phone:
+1 (415) 359-7052
Email:
withcoverage@3hcs.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 10/07/2023

Agency

Name Issue Date License Number Expiration Date Cancel Date
WITH COVERAGE INSURANCE SERVICES LLC
11/03/2023 AGN462479

Employer

Name Issue Date License Number Expiration Date Cancel Date
ALLMERICA FINANCIAL ALLIANCE INSURANCE COMPANY
11/07/2023 PCF75617
ALLMERICA FINANCIAL BENEFIT INSURANCE COMPANY
11/07/2023 PCF145893
CAMPMED CASUALTY AND INDEMNITY COMPANY INC
11/07/2023 PCF186224
THE HANOVER AMERICAN INSURANCE COMPANY
11/07/2023 PCF197298
THE HANOVER INSURANCE COMPANY
11/07/2023 PCF712
MASSACHUSETTS BAY INSURANCE COMPANY
11/07/2023 PCF505
VERLAN FIRE INSURANCE COMPANY
11/07/2023 PCF161934

Authority

Description Issue Date Termination Date Status
CASUALTY 10/07/2023 Active
PROPERTY 10/07/2023 Active

Responsible For

Name License Number
WITH COVERAGE INSURANCE SERVICES LLC AGN462479

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
20869398

Other Addresses

Address Type
767 BROADWAY # 1218
NEW YORK, NY 10003
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: 05/15/2025 12:47:32 AM