black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

BOWHEAD SPECIALTY UNDERWRITERS INC.

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN363667
Status:
First Licensure:
10/03/2020
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
500 W 5TH ST STE 1150
AUSTIN, TX 78701-3835
Mailing:
452 5TH AVE FL 24
NEW YORK, NY 10018-2786
Phone:
+1 (212) 209-6116
Fax:
+1 (212) 209-6116
Email:
regulatory-legal@bowheadspecialty.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 10/03/2020 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
MIDVALE INDEMNITY COMPANY
02/01/2021 PCF79410

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
ALAINA REBECCA DORNEKER
03/18/2023 PRN446625
GRANT FLETCHER
06/10/2021 PRN385386
DANIEL GERARD GAMBLE
04/18/2023 PRN449406
BENJAMIN MACK
04/18/2022 PRN146865
ROBERT JOSEPH MCCAW
08/06/2021 PRN390602
JANE FRANCES MUELLER
12/09/2022 PRN390802
RACHEL PALLADINO
09/25/2021 PRN397290

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
BENJAMIN MACK PRN146865

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
19853093

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: 10/20/2025 02:38:22 PM