black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JACOB ISAAC SAMIYA

PRODUCER RESIDENT

License Number:
PRR483686
Status:
First Licensure:
05/08/2024
Cancel Date:
None
Renewal Date:
10/31/2026

Continuing Education:
Required by 10/31/2026
Hours Required:
Ethics:
3
Total Required:
24
Hours Acquired:
Ethics:
0
Total Acquired:
0

Mailing:
BANGOR, ME 04402
Phone:
+1 (207) 947-7345
Email:
licensing@crossagency.com

History

License Type Start Date End Date
PRODUCER RESIDENT 05/08/2024 10/31/2026

Agency

Name Issue Date License Number Expiration Date Cancel Date
CROSS INSURANCE, INC. - MAINE
05/08/2024 AGR19087

Employer

Name Issue Date License Number Expiration Date Cancel Date
AIG PROPERTY CASUALTY COMPANY
06/10/2024 PCF393
ALLMERICA FINANCIAL ALLIANCE INSURANCE COMPANY
06/25/2024 PCF75617
ALLMERICA FINANCIAL BENEFIT INSURANCE COMPANY
06/25/2024 PCF145893
ALLSTATE FIRE AND CASUALTY INSURANCE COMPANY
06/21/2024 PCF864
ALLSTATE INDEMNITY COMPANY
06/21/2024 PCF522
ALLSTATE INSURANCE COMPANY
06/21/2024 PCF354
ALLSTATE PROPERTY AND CASUALTY INSURANCE COMPANY
06/21/2024 PCF84066
ANSUR AMERICA INSURANCE COMPANY
06/19/2024 PCF95773
THE AUTOMOBILE INSURANCE COMPANY OF HARTFORD, CONNECTICUT
06/24/2024 PCF659
BRISTOL WEST INSURANCE COMPANY
05/29/2024 PCF78370
CAMBRIDGE MUTUAL FIRE INSURANCE COMPANY
06/21/2024 PCF396
CASCO INDEMNITY COMPANY
06/27/2024 PCF921
THE CHARTER OAK FIRE INSURANCE COMPANY
06/24/2024 PCF403
CITIZENS INSURANCE COMPANY OF AMERICA
06/25/2024 PCF937
COMMERCE INSURANCE COMPANY (THE)
06/21/2024 PCF53427
CONCORD GENERAL MUTUAL INSURANCE COMPANY
06/21/2024 PCF416
COUNTRYWAY INSURANCE COMPANY
09/17/2024 PCF98
FARMERS CASUALTY INSURANCE COMPANY
05/29/2024 PCF895
FARMERS DIRECT PROPERTY AND CASUALTY INSURANCE COMPANY
05/29/2024 PCF267721
FARMERS PROPERTY AND CASUALTY INSURANCE COMPANY
05/29/2024 PCF714
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
05/29/2024 PCF445
FRANKENMUTH INSURANCE COMPANY
06/19/2024 PCF83684
GREEN MOUNTAIN INSURANCE COMPANY INC
06/21/2024 PCF73
THE HANOVER AMERICAN INSURANCE COMPANY
06/25/2024 PCF197298
THE HANOVER INSURANCE COMPANY
06/25/2024 PCF712
MAIN STREET AMERICA ASSURANCE COMPANY
06/24/2024 PCF997
MAIN STREET AMERICA PROTECTION INSURANCE COMPANY
06/24/2024 PCF235440
MASSACHUSETTS BAY INSURANCE COMPANY
06/25/2024 PCF505
MERRIMACK MUTUAL FIRE INSURANCE COMPANY
06/21/2024 PCF79
MIDVALE INDEMNITY COMPANY
06/24/2024 PCF79410
MMG INSURANCE COMPANY
06/21/2024 PCD5
NGM INSURANCE COMPANY
06/24/2024 PCF86
NORTHERN SECURITY INSURANCE COMPANY INC
06/28/2024 PCF36
PATRIOT INSURANCE COMPANY
06/19/2024 PCD208274
PATRONS OXFORD INSURANCE COMPANY
06/26/2024 PCD7
THE PHOENIX INSURANCE COMPANY
06/24/2024 PCF557
PROGRESSIVE NORTHERN INSURANCE COMPANY
07/02/2024 PCF51006
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
07/02/2024 PCF27738
PROVIDENCE MUTUAL FIRE INSURANCE COMPANY
06/21/2024 PCF562
THE STANDARD FIRE INSURANCE COMPANY
06/24/2024 PCF584
STATE MUTUAL INSURANCE COMPANY
06/21/2024 PCD102
TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA
06/24/2024 PCF974
THE TRAVELERS HOME AND MARINE INSURANCE COMPANY
06/24/2024 PCF56556
THE TRAVELERS INDEMNITY COMPANY OF AMERICA
06/24/2024 PCF585
THE TRAVELERS INDEMNITY COMPANY OF CONNECTICUT
06/24/2024 PCF435
THE TRAVELERS INDEMNITY COMPANY
06/24/2024 PCF602
TRAVELERS PERSONAL INSURANCE COMPANY
09/04/2024 PCF201268
TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA
06/24/2024 PCF711
UNITED OHIO INSURANCE COMPANY
06/27/2024 PCF192494
VERMONT ACCIDENT INSURANCE COMPANY INC
06/21/2024 PCF883
VERMONT MUTUAL INSURANCE COMPANY
06/28/2024 PCF37

Authority

Description Issue Date Termination Date Status
CASUALTY 05/08/2024 Active
PROPERTY 05/08/2024 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
21165889

Other Addresses

Address Type
491 MAIN ST
BANGOR, ME 04401-6296
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: 05/13/2025 02:29:18 PM