black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

DANIELLE BLACK

PRODUCER NON-RESIDENT

License Number:
PRN285471
Status:
First Licensure:
04/12/2017
Cancel Date:
None

Mailing:
ALBANY, OR 97321
Phone:
+1 (503) 542-1127
Fax:
+1 (619) 699-2122
Email:
danielle.black@alliant.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 04/12/2017

Agency

Name Issue Date License Number Expiration Date Cancel Date
PAYNEWEST INSURANCE INC
04/12/2017 AGN40357 12/21/2021

Employer

Name Issue Date License Number Expiration Date Cancel Date
ALLMERICA FINANCIAL ALLIANCE INSURANCE COMPANY
08/07/2025 PCF75617
ALLMERICA FINANCIAL BENEFIT INSURANCE COMPANY
08/07/2025 PCF145893
CITIZENS INSURANCE COMPANY OF AMERICA
08/07/2025 PCF937
THE HANOVER AMERICAN INSURANCE COMPANY
08/07/2025 PCF197298
THE HANOVER INSURANCE COMPANY
08/07/2025 PCF712
MASSACHUSETTS BAY INSURANCE COMPANY
08/07/2025 PCF505
VERLAN FIRE INSURANCE COMPANY
08/07/2025 PCF161934

Authority

Description Issue Date Termination Date Status
CASUALTY 04/12/2017 Active
PROPERTY 04/12/2017 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
9316336

Other Addresses

Address Type
ALBANY, OR 97321
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: 10/06/2025 06:22:32 AM