black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

MICHELLE MUSTARDO

PRODUCER NON-RESIDENT

License Number:
PRN461230
Status:
First Licensure:
08/26/2023
Cancel Date:
None

Mailing:
ROCHESTER, NY 14623
Phone:
+1 (585) 385-6666
Fax:
+1 (585) 389-7270
Email:
mjimenez1@paychex.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 08/26/2023

Agency

Name Issue Date License Number Expiration Date Cancel Date
PAYCHEX INSURANCE AGENCY INC
09/15/2023 AGN56888

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMTRUST INSURANCE COMPANY
09/20/2023 PCF260762
EMPLOYERS ASSURANCE COMPANY
09/15/2023 PCF285638
EMPLOYERS COMPENSATION INSURANCE COMPANY
09/15/2023 PCF285639
EMPLOYERS PREFERRED INSURANCE COMPANY
09/15/2023 PCF285637
SECURITY NATIONAL INSURANCE COMPANY
09/20/2023 PCF189490
SEQUOIA INSURANCE COMPANY
09/20/2023 PCF128467
TECHNOLOGY INSURANCE COMPANY INC
09/20/2023 PCF136874
WESCO INSURANCE COMPANY
09/20/2023 PCF49735

Authority

Description Issue Date Termination Date Status
CASUALTY 08/26/2023 Active
PROPERTY 08/26/2023 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
20818736

Other Addresses

Address Type
ROCHESTER, NY 14623
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: 05/17/2025 10:40:35 AM