black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

SAMUEL THOMAS OBERGFELL

PRODUCER NON-RESIDENT

License Number:
PRN486314
Status:
First Licensure:
06/11/2024
Cancel Date:
None

Mailing:
FORT WAYNE, IN 46805
Phone:
+1 (260) 969-5203
Fax:
+1 (260) 969-4729
Email:
corplicensing@arrowheadgrp.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 06/11/2024

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
ARCH INDEMNITY INSURANCE COMPANY
10/07/2024 PCF674
ARCH INSURANCE COMPANY
09/11/2024 PCF62719

Authority

Description Issue Date Termination Date Status
CASUALTY 06/11/2024 Active
HEALTH 06/11/2024 Active
LIFE 06/11/2024 Active
PROPERTY 06/11/2024 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
21187281

Other Addresses

Address Type
7609 W JEFFERSON BLVD STE 100
FORT WAYNE, IN 46804-9901
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: 05/16/2025 03:24:26 AM