black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

DOMINIC A. FORGITANO

PRODUCER RESIDENT

License Number:
PRR89535
Status:
First Licensure:
09/26/2002
Cancel Date:
None
Renewal Date:
08/31/2025

Continuing Education:
Required by 08/31/2025
Hours Required:
Ethics:
3
Total Required:
24
Hours Acquired:
Ethics:
3
Total Acquired:
24

Mailing:
SANFORD, ME 04073
Phone:
+1 (888) 717-1776
Email:
gee0729@yahoo.com

History

License Type Start Date End Date
PRODUCER RESIDENT 09/26/2002 08/31/2025

Agency

Name Issue Date License Number Expiration Date Cancel Date
GARNSEY BROTHERS
08/26/2019 AGR1585

Employer

Name Issue Date License Number Expiration Date Cancel Date
ALLSTATE FIRE AND CASUALTY INSURANCE COMPANY
10/27/2017 PCF864
ALLSTATE INDEMNITY COMPANY
10/27/2017 PCF522
ALLSTATE INSURANCE COMPANY
10/27/2017 PCF354
ALLSTATE PROPERTY AND CASUALTY INSURANCE COMPANY
10/27/2017 PCF84066
BRISTOL WEST INSURANCE COMPANY
01/20/2011 PCF78370 05/29/2013
BRISTOL WEST INSURANCE COMPANY
07/01/2013 PCF78370
CONCORD GENERAL MUTUAL INSURANCE COMPANY
01/15/2013 PCF416 06/13/2013
EMPLOYERS INSURANCE COMPANY OF WAUSAU
02/01/2017 PCF434
FARMERS INSURANCE EXCHANGE FARMERS GROUP INC
10/12/2010 IIF106 03/21/2012
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
10/02/2008 PCF445 05/29/2013
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
07/01/2013 PCF445
FOREMOST PROPERTY AND CASUALTY INSURANCE COMPANY
10/07/2013 PCF37337 06/04/2018
FOREMOST SIGNATURE INSURANCE COMPANY
10/07/2013 PCF176307 06/04/2018
GREEN MOUNTAIN INSURANCE COMPANY INC
01/15/2013 PCF73 06/13/2013
INTERINSURANCE EXCHANGE OF THE AUTOMOBILE CLUB
07/29/2008 PCF97777 09/02/2009
KEMPER INDEPENDENCE INSURANCE COMPANY
01/28/2013 PCF94586 02/28/2013
MMG INSURANCE COMPANY
12/26/2019 PCD5
NETHERLANDS INSURANCE COMPANY
02/01/2017 PCF827 04/26/2024
NORTHERN SECURITY INSURANCE COMPANY INC
08/23/2016 PCF36
PATRONS OXFORD INSURANCE COMPANY
08/29/2016 PCD7
PEERLESS INSURANCE COMPANY
02/01/2017 PCF548
PHENIX MUTUAL FIRE INSURANCE COMPANY
01/27/2012 PCF554 11/02/2012
PHENIX MUTUAL FIRE INSURANCE COMPANY
02/27/2013 PCF554 05/01/2022
THE PHOENIX INSURANCE COMPANY
06/01/2015 PCF557 07/07/2016
PROGRESSIVE NORTHERN INSURANCE COMPANY
09/22/2008 PCF51006 09/14/2009
PROGRESSIVE NORTHERN INSURANCE COMPANY
04/05/2012 PCF51006 02/18/2013
PROGRESSIVE NORTHERN INSURANCE COMPANY
03/06/2013 PCF51006
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
09/22/2008 PCF27738 09/14/2009
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
04/05/2012 PCF27738 02/18/2013
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
03/06/2013 PCF27738
RIVERSTONE INTERNATIONAL INSURANCE, INC.
09/26/2002 PCF60 05/25/2005
SAFECO INSURANCE COMPANY OF AMERICA
06/28/2024 PCF715
SAFECO NATIONAL INSURANCE COMPANY
02/01/2017 PCF248658
THE STANDARD FIRE INSURANCE COMPANY
06/01/2015 PCF584
STATE MUTUAL INSURANCE COMPANY
01/15/2013 PCD102 06/13/2013
TRUCK INSURANCE EXCHANGE TRUCK UNDERWRITERS ASSOCIATION
10/12/2010 IIF107 07/31/2012
UNITED FINANCIAL CASUALTY COMPANY
09/22/2008 PCF61704 09/14/2009
VERMONT ACCIDENT INSURANCE COMPANY INC
01/15/2013 PCF883 06/13/2013
VERMONT MUTUAL INSURANCE COMPANY
08/23/2016 PCF37

Authority

Description Issue Date Termination Date Status
CASUALTY 09/26/2002 Active
PROPERTY 09/26/2002 Active

License/Disciplinary Action

None.

PRODUCER NON-RESIDENT

License Number:
PRN83970
First Licensure:
02/25/2002
Cancel Date:
09/26/2002
Renewal Date:
02/01/2003

Mailing:
SANFORD, ME 04073
Phone:
+1 (888) 717-1776
Email:
gee0729@yahoo.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 02/25/2002 09/25/2002

Agency

None.

Employer

None.

Authority

Description Issue Date Termination Date Status
PROPERTY AND CASUALTY 02/25/2002 09/26/2002 Terminated

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
3833734

CE Courses

Date Description Course Number Content Areas
02/13/2025 IRMI ON PERSONAL LINES 101 ME12346
5
credits in General Education
Total:
5
02/13/2025 ETHICAL PRINCIPLES, ETHICAL PRACTICES 23709
3
credits in Ethics
Total:
3
02/13/2025 INSURANCE REGULATION AND CONSUMER PROTECTION 22259
6
credits in General Education
Total:
6
02/13/2025 PERSONAL LINES INSURANCE COVERAGE GAPS 21576
10
credits in General Education
Total:
10

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 07:19:19 PM