black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

THOUSAND ISLANDS AGENCY INC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN211204
Status:
First Licensure:
11/28/2012
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
853 JAMES ST
CLAYTON, NY 13624-1415
Mailing:
PO BOX 456
CLAYTON, NY 13624-0456
Phone:
+1 (315) 686-5536
Fax:
+1 (315) 654-3097
Email:
molly@tiagency.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 11/28/2012 04/01/2027

Alias, DBA or Trade Name

Name
MACILVENNIE & BROWN INSURANCE AGENCY
OLDSVILLE AGENCY
SPORTSMENS INSURANCE AGENCY PLAN
THOUSAND ISLANDS AGENCY

Employer

Name Issue Date License Number Expiration Date Cancel Date
ACE PROPERTY & CASUALTY INSURANCE COMPANY
04/22/2023 PCF44
AMERICAN ECONOMY INSURANCE COMPANY
07/16/2014 PCF363 12/10/2021
AMERICAN FIRE AND CASUALTY COMPANY
07/16/2014 PCF200822 11/10/2023
AMERICAN MODERN HOME INSURANCE COMPANY
01/18/2017 PCF808 10/28/2021
AMERICAN MODERN SELECT INSURANCE COMPANY
01/18/2017 PCF123448 10/28/2021
AMERICAN STATES INSURANCE COMPANY
07/16/2014 PCF377 12/10/2021
EXCELSIOR INSURANCE COMPANY
07/16/2014 PCF46786 05/09/2024
GENERAL INSURANCE COMPANY OF AMERICA
07/16/2014 PCF447 12/09/2022
GENERAL INSURANCE COMPANY OF AMERICA
01/09/2023 PCF447
GREAT AMERICAN INSURANCE COMPANY
02/21/2013 PCF764
NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH PA
03/05/2013 PCF527
NETHERLANDS INSURANCE COMPANY
07/16/2014 PCF827 05/09/2024
OHIO CASUALTY INSURANCE COMPANY
07/16/2014 PCF73059 12/09/2022
OHIO CASUALTY INSURANCE COMPANY
01/09/2023 PCF73059
OHIO SECURITY INSURANCE COMPANY
07/16/2014 PCF200581 11/10/2023
OHIO SECURITY INSURANCE COMPANY
12/19/2023 PCF200581
PEERLESS INDEMNITY INSURANCE COMPANY
07/16/2014 PCF97399 03/04/2022
PEERLESS INSURANCE COMPANY
07/16/2014 PCF548
PHILADELPHIA INDEMNITY INSURANCE COMPANY
04/19/2022 PCF46041
QBE INSURANCE CORPORATION
09/09/2014 PCF82307
WEST AMERICAN INSURANCE COMPANY
07/16/2014 PCF200576

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
CARRIE MARIE DISOTELL
11/28/2012 PRN199305
MARY HIGGINS
03/25/2021 PRN314237

Branch Office

Name Issue Date License Number Expiration Date Cancel Date
THOUSAND ISLAND AGENCY INC (CAPE VINCENT NY)
02/20/2013 BRN213789

Supervised Entity

None.

Responsible Individual

Name License Number
MARY HIGGINS PRN314237

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
16503754

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: 05/14/2025 08:59:45 AM