black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

MARTIN J. REGINE

PRODUCER NON-RESIDENT

License Number:
PRN40191
Status:
First Licensure:
09/08/1994
Cancel Date:
None

Mailing:
MINEOLA, NY 11501
Phone:
+1 (516) 742-8815
Email:
jregine@jaspersurety.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 04/15/2009
*** NOT ACTIVE *** 03/13/2003 04/14/2009
PRODUCER NON-RESIDENT 09/08/1994 03/12/2003

Agency

Name Issue Date License Number Expiration Date Cancel Date
CONSTRUCTION INDUSTRY SERVICES CORPORATION
09/09/1994 AGN37648 03/13/2003
JASPER SURETY AGENCY LLC
06/23/2015 AGN251829

Employer

Name Issue Date License Number Expiration Date Cancel Date
HARCO NATIONAL INSURANCE COMPANY
03/13/2019 PCF325
HARTFORD ACCIDENT & INDEMNITY COMPANY
04/10/2002 PCF462 03/01/2003
HARTFORD CASUALTY INSURANCE COMPANY
04/10/2002 PCF967 03/13/2003
HARTFORD FIRE INSURANCE COMPANY
04/10/2002 PCF464 03/13/2003
HARTFORD INSURANCE COMPANY OF THE MIDWEST
04/10/2002 PCF1021 03/13/2003
HARTFORD UNDERWRITERS INSURANCE COMPANY
04/10/2002 PCF992 03/13/2003
INTERNATIONAL FIDELITY INSURANCE COMPANY
10/09/2015 PCF46340
TWIN CITY FIRE INSURANCE COMPANY
04/10/2002 PCF963 03/13/2003

Authority

Description Issue Date Termination Date Status
CASUALTY 04/15/2009 Active
PROPERTY 04/15/2009 Active
PROPERTY AND CASUALTY 09/08/1994 03/13/2003 Terminated

Responsible For

Name License Number
JASPER SURETY AGENCY LLC AGN251829

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
669079

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: 05/15/2025 09:59:43 AM