black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

SOUTHERN INSURANCE COMPANY

INSURANCE COMPANY

License Number:
PCF231481
Status:
First Licensure:
04/16/2014
Cancel Date:
None
Renewal Date:
08/10/2025
NAIC Code:
19216

Street Location:
4455 LYNDON B JOHNSON FWY STE 700
DALLAS, TX 75244-5932
Mailing:
800 SUPERIOR AVE E FL 21
CLEVELAND, OH 44114-2613
Phone:
+1 (866) 203-3037
Fax:
+1 (972) 788-6209
Email:
regulatorycompliance@amtrustgroup.com

History

License Type Start Date End Date
INSURANCE COMPANY 04/16/2014 08/10/2025

Employee

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN SPECIALTY INSURANCE & RISK SERVICES INC
04/04/2024 AGN110525
ANV GLOBAL SERVICES INC
09/18/2023 AGN178237
RICHARD J. AUGUSTYN
11/01/2021 PRN46537
AVANT UNDERWRITERS LLC
10/28/2021 AGN198134
SPENCER LEE BATT
02/21/2025 PRN174309
BEACON AVIATION INS SERVICES INC
11/01/2021 AGN220710
LYNN M. BENCIVENGA
03/06/2025 PRN166034
JOSEPH DAVID BLACKSHEAR
01/03/2023 PRN176474
SAMUEL CAMPILLO
04/09/2024 PRN439600
KATHY HAMMOND COLANGELO
11/05/2024 PRN119857
COSTANZA INSURANCE AGENCY INC
10/29/2021 AGN49636
BRIAN P. COSTANZA
10/29/2021 PRN158824
PETER D. COSTANZA
10/29/2021 PRN49632
CRC INSURANCE SERVICES LLC
01/03/2023 AGN38700
SCOTT DAVID
04/04/2024 PRN294742
JORDAN DAVID DAWES
04/09/2024 PRN258472
THOMAS A. DOHERTY
03/07/2024 PRN321180
JINA DAWN DOYLE
04/04/2024 PRN248017
BENNETT GRAY GOLDBLUM
11/01/2021 PRN381506
WILLIAM HAMILTON
04/04/2024 PRN451030
JORDAN HARGER
04/09/2024 PRN282733
JASON L. HAUPT
11/05/2024 PRN270652
HULL & COMPANY LLC
11/05/2024 AGN154954
CHRISTOPHER KELLEHER
04/18/2024 PRN446773
SPENCER KIEKHAEFER
04/09/2024 PRN442902
TREVOR KINN
04/09/2024 PRN281406
COREY W. LILE
04/17/2024 PRN143344
MAGUIRE INSURANCE AGENCY INC
12/04/2024 AGN43778
DAVID M. MALLOY
01/16/2024 PRN213752
CYNTHIA P. MARTIN
11/05/2024 PRN269468
BRENDA M. MORRISON
10/28/2021 PRN248744
JAMES MYERS
04/09/2024 PRN471410
JEFFREY A. NACYK
11/01/2021 PRN125746
NIP GROUP INC
10/28/2021 AGN105912
OCCUSURE WORKERS' COMPENSATION SPECIALISTS LLC
04/17/2024 AGN179623
ONE80 INTERMEDIARIES INC
01/19/2024 AGN174781
ORYX INS BROKERAGE INC
10/29/2021 AGN223620
THOMAS A. PASQUALE
10/29/2021 PRN222789
PMC INSURANCE AGENCY INC
01/09/2025 AGN56150
RSG SPECIALTY LLC
04/30/2024 AGN176560
MARY JANE SCHUST
09/18/2023 PRN90043
TRENTON GRADY SHARP
12/18/2024 PRN184416
ELLIOT GEORGE SHELTON
04/09/2024 PRN418246
DAVID WILLIAM SMITH
01/20/2022 PRN380854
SPECIALTY PROGRAM GROUP LLC
11/01/2021 AGN278764
DOROTHY TAYLOR
11/01/2021 PRN124295
RASHELLE LYNN THOMS
04/09/2024 PRN414631
CHRISTOPHER M. TREANOR
11/01/2021 PRN125510
WORLD WIDE SPECIALTY PROGRAMS INC
11/01/2021 AGN70492

Supervised Entity

None.

Authority

Description Issue Date Termination Date Status
FIRE 04/16/2014 Active
ALLIED LINES 04/16/2014 Active
FARMOWNERS MULTIPLE PERIL 04/16/2014 Active
HOMEOWNERS MULTIPLE PERIL 04/16/2014 Active
COMMERCIAL MULTIPLE PERIL 04/16/2014 Active
INLAND MARINE 04/16/2014 Active
EARTHQUAKE 12/16/2019 Active
WORKERS COMPENSATION 04/16/2014 Active
OTHER LIABILITY 04/16/2014 Active
PRODUCTS LIABILITY 04/16/2014 Active
AUTO LIABILITY 04/16/2014 Active
AUTO PHYS DAMAGE 04/16/2014 Active
FIDELITY 12/16/2019 Active
SURETY 04/16/2014 Active
GLASS 04/16/2014 Active
BURGLARY AND THEFT 04/16/2014 Active
BOILER AND MACHINERY 12/16/2019 Active

Contacts

Type Contact
SERVICE OF PROCESS UNITED AGENT GROUP INC.
MERILLS WHARF
254 COMMERCIAL ST STE 245
PORTLAND, ME 04101-4899
Phone: +1 (561) 694-8107
Fax: +1 (561) 694-1639
Email: govdocs@unitedagentgroup.com
PRODUCER LICENSING CONTACT ZACHARY CHAMBERLAND
ZACHARY CHAMBERLAND
400 EXECUTIVE BLVD FL 4
SOUTHINGTON, CT 06489-6028
Phone: +1 (860) 863-2315
Email: appointments@amtrustgroup.com
WORKERS COMPENSATION CLAIMS BRIAN LORDAN
SOUTHERN INSURANCE COMPANY
PO 6935
CLEVELAND, OH 44101
Phone: +1 (603) 324-3391
Fax: +1 (518) 213-1908
Email: brian.lordan@amtrustgroup.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: 05/24/2025 12:28:22 PM