black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JESSIE L. REMILLARD

PRODUCER NON-RESIDENT

License Number:
PRN455491
Status:
First Licensure:
06/28/2023
Cancel Date:
None

Mailing:
NORTH GRAFTON, MA 01536
Phone:
+1 (508) 804-0719
Fax:
+1 (866) 897-2629
Email:
jremillard@dcu.org

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 06/28/2023

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
MAIN STREET AMERICA ASSURANCE COMPANY
11/17/2023 PCF997
MAIN STREET AMERICA PROTECTION INSURANCE COMPANY
11/17/2023 PCF235440
MIDVALE INDEMNITY COMPANY
11/17/2023 PCF79410
NGM INSURANCE COMPANY
11/17/2023 PCF86
PROGRESSIVE NORTHERN INSURANCE COMPANY
09/19/2023 PCF51006
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
09/19/2023 PCF27738

Authority

Description Issue Date Termination Date Status
CASUALTY 06/28/2023 Active
PROPERTY 06/28/2023 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
18604402

Other Addresses

Address Type
853 DONALD LYNCH BLVD
MARLBOROUGH, MA 01752-4704
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 03:02:36 AM