black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

AMERISURE MUTUAL INSURANCE COMPANY

INSURANCE COMPANY

License Number:
PCF508
Status:
First Licensure:
12/01/1949
Cancel Date:
None
Renewal Date:
08/10/2025
NAIC Code:
23396

Mailing:
COMPLIANCE DEPT
PO BOX 2060
FARMINGTON HILLS, MI 48333-2060
Phone:
+1 (800) 257-1900
Email:
corplegal@amerisure.com

History

License Type Start Date End Date
INSURANCE COMPANY 02/28/1990 08/10/2025

Employee

Name Issue Date License Number Expiration Date Cancel Date
JOHN EDWARD ADAMS
06/23/2022 PRN26683
DONALD E. APPLEBY
04/25/2022 PRN225575
GARY L. BERGER
04/07/2022 PRN81317
TIMOTHY J. BLANCHARD
04/29/2022 PRN195949
JOHN CHARLES BURES
09/01/2020 PRN98107
ALAN PHILIP CHANDLER
03/30/2022 PRN311022
ANNE T. CROWNER
04/14/2022 PRN255367
BRIAN M. DEIMERLY
04/13/2022 PRN258361
DESANCTIS INSURANCE AGENCY INC
07/15/2022 AGN36804
ADAM DESANCTIS
07/14/2022 PRN120320
MONICA F. DONATELLI
04/22/2022 PRN187087
DSP INSURANCE SERVICES INC
06/22/2022 AGN133522
JAY D. FREIERMUTH
04/13/2022 PRN256528
JOSHUA BLAIR HAUSERMAN
04/08/2022 PRN350940
HMS INSURANCE ASSOCIATES INC
06/20/2022 AGN81318
HOLMES MURPHY & ASSOCIATES LLC
04/15/2022 AGN47963
HUB INTERNATIONAL INSURANCE SERVICES INC
04/29/2022 AGN115244
ALLAN HULTGREN
05/25/2022 PRN320898
IMA INC -000
04/25/2022 AGN193556
GREGORY A. KRIER
04/18/2022 PRN229761
MARK A. LENDERINK
08/25/2020 PRN358672
JOSHUA R. LOFTIS
04/28/2022 PRN334902
MARSH & MCLENNAN AGENCY LLC
05/26/2022 AGN171044
TIMOTHY J. MCCULLOH
04/14/2022 PRN258322
JOHN WILLIAM NEWBY
03/25/2022 PRN133740
JEFFERSON T. PRESTON
10/04/2018 PRN270558
JUSTIN DEAN PRICE
06/14/2024 PRN421287
PROPEL INSURANCE AGENCY LLC
06/12/2024 AGN44710
GRACE ANNE RASMUSSEN
04/18/2022 PRN263580
SETH ROOKER
04/14/2022 PRN332735
JAMES MAXWELL SMITH
05/05/2022 PRN188016
JASON D. SMITH
05/05/2022 PRN81672
MARK H. SWEIGART
04/27/2022 PRN259155
JOSEPH ROSS TIERNAN
04/19/2022 PRN254191
TRUENORTH COMPANIES LC
05/06/2022 AGN135866
TUCKER AGENCY LTD
04/06/2022 AGN138092
TRACY DON TUCKER
04/05/2022 PRN213535
VALENTI TROBEC CHANDLER INC
04/04/2022 AGN232806
COLBY D. WHITE
04/27/2022 PRN344852

Supervised Entity

None.

Authority

Description Issue Date Termination Date Status Additional Information
FIRE 03/01/1996 Active
ALLIED LINES 03/01/1996 Active
COMMERCIAL MULTIPLE PERIL 03/01/1996 Active
INLAND MARINE 03/01/1996 Active
EARTHQUAKE 03/01/1996 Active
WORKERS COMPENSATION 07/19/2011 Active
OTHER LIABILITY 03/01/1996 Active
PRODUCTS LIABILITY 03/01/1996 Active
AUTO LIABILITY 03/01/1996 Active
AUTO PHYS DAMAGE 03/01/1996 Active
FIDELITY 03/01/1996 Active
SURETY 04/13/2023 Active
GLASS 03/01/1996 Active
BURGLARY AND THEFT 03/01/1996 Active
BOILER AND MACHINERY 03/01/1996 Active
HOMEOWNERS MULTIPLE PERIL 03/01/1996 08/04/1999 Terminated
LIMITED TO HOME STATE 12/31/1987 03/01/1996 Terminated
Designated State

PROPERTY AND CASUALTY 01/01/1901 03/01/1996 Terminated

Contacts

Type Contact
PRODUCER LICENSING CONTACT PAM DURRETT
AMERISURE MUTUAL INSURANCE COMPANY
LEGAL DEPT
26777 HALSTED RD
FARMINGTON HILLS, MI 48331-3577
Phone: +1 (800) 257-1900
Fax: +1 (248) 426-7936
Email: amerisurelicapptssupport@amerisure.com
WORKERS COMPENSATION CLAIMS STEPHANIE HAAS
AMERISURE MUTUAL INSURANCE COMPANY
26777 HALSTED RD
FARMINGTON HILLS, MI 48331-3577
Phone: +1 (248) 615-9000
Fax: +1 (248) 426-7936
Email: corplegal@amerisure.com
SERVICE OF PROCESS COGENCY GLOBAL INC.
75 YORK ST STE 2
PORTLAND, ME 04101-4670
Phone: +1 (866) 621-3524
Email: statrep@cogencyglobal.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: 05/13/2025 09:56:45 PM