black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

SEA MOUNTAIN INSURANCE BROKERS INC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN215227
Status:
First Licensure:
04/09/2013
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
19630 76TH AVE W
LYNNWOOD, WA 98036-5843
Mailing:
19630 76TH AVE W
LYNNWOOD, WA 98036-5843
Phone:
+1 (425) 775-1410
Fax:
+1 (425) 774-4177
Email:
maria@sea-mountain.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 06/21/2018 04/01/2027
*** NOT ACTIVE *** 07/01/2015 06/20/2018
NON-RESIDENT PRODUCER AGENCY 04/09/2013 06/30/2015

Employer

Name Issue Date License Number Expiration Date Cancel Date
ACE AMERICAN INSURANCE COMPANY
12/27/2021 PCF640
BANKERS STANDARD INSURANCE COMPANY
12/27/2021 PCF152165
CHUBB INDEMNITY INSURANCE COMPANY
12/27/2021 PCF591
CHUBB NATIONAL INSURANCE COMPANY
12/27/2021 PCF80404
FEDERAL INSURANCE COMPANY
12/27/2021 PCF439
GREAT NORTHERN INSURANCE COMPANY
12/27/2021 PCF455
HDI GLOBAL INSURANCE COMPANY
08/09/2023 PCF167923
INDEPENDENCE AMERICAN INSURANCE COMPANY
05/29/2024 PCF86149
NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH PA
04/22/2013 PCF527 07/01/2015
PACIFIC INDEMNITY COMPANY
12/27/2021 PCF547
UNITED STATES FIRE INSURANCE COMPANY
07/29/2020 PCF101256 05/23/2022
VIGILANT INSURANCE COMPANY
12/27/2021 PCF613

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
JENNIFER LEIGH ETZEL
02/15/2024 PRN476465
DAREN M. HOPPER
06/21/2018 PRN215171
KRISTA M. PATTEN
09/13/2023 PRN33057

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
DAREN M. HOPPER PRN215171

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
687223

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 05:47:18 AM