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DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

BRICKSTREET MUTUAL INSURANCE COMPANY

INSURANCE COMPANY

License Number:
PCF372019
Status:
First Licensure:
12/31/2020
Cancel Date:
None
Renewal Date:
08/10/2026
NAIC Code:
12372

Street Location:
400 QUARRIER ST
CHARLESTON, WV 25301-2010
Mailing:
400 QUARRIER ST
CHARLESTON, WV 25301-2010
Phone:
+1 (304) 941-1000
Email:
mike.riley@encova.com

History

License Type Start Date End Date
INSURANCE COMPANY 12/31/2020 08/10/2026

Employee

Name Issue Date License Number Expiration Date Cancel Date
SARAH LINCOLN ANDERSON
05/17/2024 PRN163812
PAUL RICHARD HUGHES
06/18/2025 PRN93634
GARY L. LONSINGER
05/31/2024 PRN7104
JEFFREY L. LONSINGER
08/21/2024 PRN258413
ROBERT MICHAEL PRIOR
04/25/2024 PRN48316

Supervised Entity

None.

Authority

Description Issue Date Termination Date Status
WORKERS COMPENSATION 12/31/2020 Active

Contacts

Type Contact
PRODUCER LICENSING CONTACT ANGELECE MERCHANT
ANGELECE MERCHANT
400 QUARRIER ST
CHARLESTON, WV 25301-2010
Email: angelece.merchant@encova.com
WORKERS COMPENSATION CLAIMS JOAN KOENIG
BRICKSTREET MUTUAL INSURANCE COMPANY
PO BOX 3151
CHARLESTON, WV 25332-3151
Phone: +1 (866) 452-7425 x6319
Fax: +1 (304) 941-1294
Email: joan.koenig@encova.com
SERVICE OF PROCESS CORPORATION SERVICE COMPANY
45 MEMORIAL CIR
AUGUSTA, ME 04330-6400
Phone: +1 (800) 927-9800
Fax: +1 (302) 636-5454
Email: sop@cscglobal.com

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN)

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: 06/20/2025 03:29:02 PM