black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

BENNETT GRAY GOLDBLUM

PRODUCER NON-RESIDENT

License Number:
PRN381506
Status:
First Licensure:
04/27/2021
Cancel Date:
None

Mailing:
SARASOTA, FL 34232
Phone:
+1 (941) 256-7307
Fax:
+1 (817) 785-6701
Email:
producerlicensing@amyntagroup.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 04/27/2021

Agency

Name Issue Date License Number Expiration Date Cancel Date
BEACON AVIATION INS SERVICES INC
06/08/2022 AGN220710

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMTRUST INSURANCE COMPANY
09/20/2022 PCF260762
COREPOINTE INSURANCE COMPANY
11/01/2021 PCF398
MILFORD CASUALTY INSURANCE COMPANY
11/01/2021 PCF189489
MS TRANSVERSE INSURANCE COMPANY
11/19/2024 PCF485108
SECURITY NATIONAL INSURANCE COMPANY
10/25/2021 PCF189490
SEQUOIA INSURANCE COMPANY
09/20/2022 PCF128467
SOUTHERN INSURANCE COMPANY
11/01/2021 PCF231481
TECHNOLOGY INSURANCE COMPANY INC
10/25/2021 PCF136874
WESCO INSURANCE COMPANY
10/25/2021 PCF49735

Authority

Description Issue Date Termination Date Status
CASUALTY 04/27/2021 Active
PROPERTY 04/27/2021 Active

Responsible For

Name License Number
BEACON AVIATION INS SERVICES INC AGN220710

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
16800014

Other Addresses

Address Type
SARASOTA, FL 34232
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: 05/24/2025 08:40:39 AM