black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

MAG MUTUAL INS AGENCY LLC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN291891
Status:
First Licensure:
08/16/2017
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
3535 PIEDMONT RD NE BLDG 14 STE 1000
ATLANTA, GA 30305-1518
Mailing:
PO BOX 52979
ATLANTA, GA 30355-0979
Phone:
+1 (800) 282-4882
Fax:
+1 (404) 842-5566
Email:
mharmon@magmutual.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 08/16/2017 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
ACE AMERICAN INSURANCE COMPANY
08/30/2017 PCF640
THE AUTOMOBILE INSURANCE COMPANY OF HARTFORD, CONNECTICUT
05/12/2020 PCF659 08/12/2024
BANKERS STANDARD INSURANCE COMPANY
08/30/2017 PCF152165
THE CHARTER OAK FIRE INSURANCE COMPANY
05/19/2023 PCF403 08/12/2024
CHUBB NATIONAL INSURANCE COMPANY
08/30/2017 PCF80404
FEDERAL INSURANCE COMPANY
08/30/2017 PCF439
GREAT NORTHERN INSURANCE COMPANY
08/30/2017 PCF455
PACIFIC INDEMNITY COMPANY
08/30/2017 PCF547
THE PHOENIX INSURANCE COMPANY
05/19/2023 PCF557 08/12/2024
THE STANDARD FIRE INSURANCE COMPANY
06/16/2020 PCF584
TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA
05/31/2023 PCF974 08/12/2024
THE TRAVELERS HOME AND MARINE INSURANCE COMPANY
05/12/2020 PCF56556
THE TRAVELERS INDEMNITY COMPANY OF AMERICA
05/19/2023 PCF585 08/12/2024
THE TRAVELERS INDEMNITY COMPANY OF CONNECTICUT
05/19/2023 PCF435 08/12/2024
THE TRAVELERS INDEMNITY COMPANY
05/19/2023 PCF602 08/12/2024
TRAVELERS PERSONAL INSURANCE COMPANY
04/20/2020 PCF201268
TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA
05/19/2023 PCF711
VIGILANT INSURANCE COMPANY
08/30/2017 PCF613

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
APRIL ADKISSON
10/14/2022 PRN434137
SCOTT BORDERS
07/11/2024 PRN204862
KATIE M. CORTRIGHT
07/15/2021 PRN215723
JOSEPH VICTOR CRESCIO
04/28/2025 PRN388985
DONNA LAMMERT FREEMAN
10/05/2020 PRN290394
JOSHUA GAFFER
07/11/2024 PRN348700
EARL RANDALL KINSEY
12/14/2020 PRN104560
BARBARA LEWIS
02/25/2021 PRN376231
EDMUND E. LYNCH
02/14/2023 PRN120253
KIM SUE MALLOY
08/18/2022 PRN427153
KIMBERLY MCGEE
10/07/2020 PRN230832
CLARENCE A. PREVO
08/16/2017 PRN291586
MICHAEL ALLEN REVELIOTTY
10/05/2020 PRN339422
SYDNEY ELIZABETH STELLY
12/05/2024 PRN483348
QUINN A. WILSON
07/11/2024 PRN248227
MARK L. WITTEL
10/05/2020 PRN110556
MELANIE DIANE YACOBUCCI
04/10/2025 PRN512701

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
CLARENCE A. PREVO PRN291586

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
1645548

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 03:32:24 AM