black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JACK M. GROSS

PRODUCER NON-RESIDENT

License Number:
PRN161992
Status:
First Licensure:
12/30/2008
Cancel Date:
None

Mailing:
PASSAIC, NJ 07055
Phone:
+1 (212) 620-4040
Fax:
+1 (212) 620-3999
Email:
jack@grossinsurance.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 12/30/2008

Agency

Name Issue Date License Number Expiration Date Cancel Date
GROSS & CO LLC
01/06/2009 AGN162142

Employer

Name Issue Date License Number Expiration Date Cancel Date
ACE AMERICAN INSURANCE COMPANY
03/06/2016 PCF640
BANKERS STANDARD INSURANCE COMPANY
03/06/2016 PCF152165
FEDERAL INSURANCE COMPANY
01/13/2009 PCF439
GREAT AMERICAN ALLIANCE INSURANCE COMPANY
06/19/2013 PCF46804
GREAT AMERICAN ASSURANCE COMPANY
06/19/2013 PCF702
GREAT AMERICAN INSURANCE COMPANY
06/19/2013 PCF764
GREAT AMERICAN INSURANCE COMPANY OF NEW YORK
06/19/2013 PCF326
GREAT NORTHERN INSURANCE COMPANY
01/13/2009 PCF455
INDEMNITY INSURANCE COMPANY OF NORTH AMERICA
03/06/2016 PCF50104
PACIFIC EMPLOYERS INSURANCE COMPANY
03/06/2016 PCF546

Authority

Description Issue Date Termination Date Status
CASUALTY 12/30/2008 Active
HEALTH 12/30/2008 Active
LIFE 12/30/2008 Active
PROPERTY 12/30/2008 Active
PERSONAL LINES 12/30/2008 12/30/2008 Terminated

Responsible For

Name License Number
GROSS & CO LLC AGN162142

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
685110

Other Addresses

Address Type
585 W END AVE APT 5G
NEW YORK, NY 10024-1715
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: 05/13/2025 11:18:58 PM