black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

MEDICAL PROTECTIVE COMPANY (THE)

INSURANCE COMPANY

License Number:
PCF47861
Status:
First Licensure:
11/21/1996
Cancel Date:
None
Renewal Date:
08/10/2025
NAIC Code:
11843

Mailing:
CHARLOTTE EVARD
LICENSING TEAM
5814 REED RD
FORT WAYNE, IN 46835-3568
Phone:
+1 (260) 492-4605
Fax:
+1 (972) 543-9237
Email:
peter.carpentier@medpro.com

History

License Type Start Date End Date
INSURANCE COMPANY 11/21/1996 08/10/2025

Employee

Name Issue Date License Number Expiration Date Cancel Date
AANA ASSOCIATION MANAGEMENT SERVICES INC
09/01/2009 AGN137706
ANGELA ACKERMAN
02/27/2009 PRN163877
ACRISURE LLC
11/03/2022 AGN160630
ACRISURE NJ PARTNERS INSURANCE SERVICES, LLC
01/22/2024 AGN441141
AEGIS INS ASSOC LLC
11/20/2020 AGN285413
AFFINITY INSURANCE SERVICES INC
03/07/2003 AGN50950
JOSEPH MICHAEL AGNELLO
01/25/2021 PRN75337
MATTEA AILINANI
07/07/2021 PRN386345
ALLIANT INSURANCE SERVICES HOUSTON LLC
01/31/2012 AGN78973
AMWINS INSURANCE BROKERAGE LLC
06/15/2022 AGN123397
MATTHEW R. ANDERSON
07/10/2019 PRN219165
ORION ZANE ANDERSON
06/02/2022 PRN418028
ARTHUR J GALLAGHER RISK MANAGEMENT SERVICES LLC
10/10/2006 AGN37963
ERIC CHRISTOPHER ARTHURS
04/01/2004 PRN97420
ASSOCIATION MEMBER BENEFITS ADVISORS, LLC
09/22/2022 AGN326323
B&B PROTECTOR PLANS INC
06/25/2010 AGN131535
DENISE DEMICHELE BARNES
09/25/2020 PRN110104
CHRISTOPHER MAX BAXTER
03/17/2022 PRN251162
SETH BEATY
02/13/2024 PRN474571
RYAN LORENZ BEAVERS
01/14/2015 PRN203722
ALLYSON BEERY
08/25/2020 PRN359458
GREGORY SCOTT BELLAMY
09/06/2024 PRN147452
MARC R. BERUBE
11/18/2009 PRN65705
BOWEN MICLETTE & BRITT INS AGENCY LLC
05/06/2009 AGN164257
ROBERT MICHAEL BREEDLOVE JR
03/20/2022 PRN295172
RICHARD S. BRERETON JR
10/10/2008 PRN87688
EDWARD GARVIN BRITT JR
08/20/2003 PRN53639
BROWN & BROWN INSURANCE SERVICES, INC.
04/03/2024 AGN36572
ANTHONY R. BRYAN
01/24/2024 PRR220245
BRANDON BURCH
07/15/2020 PRN356204
TIFFANY BURKS
04/22/2024 PRN480722
C&R INSURANCE SERVICES LLC
11/15/2007 AGN75347
PARKER CADE
02/19/2021 PRN374595
KAREN MARIE CANNON
09/29/2020 PRN143630
PAMELA E. CANTLIN
02/25/2021 PRR167713
THOMAS D. CASSADY
08/18/2020 PRN56742
GREGORY CHRONIS
02/22/2021 PRN302270
GLENN WESLEY CLARK
08/03/2011 PRN57683
CONTEMPORARY INSURANCE SERVICES INC
06/30/2006 AGN110304
LISA M. COUGHLAN
08/29/2023 PRR41064
CPH & ASSOCIATES INSURANCE AGENCY INC
07/15/2015 AGN74508
R GRADY CREWS
12/15/2010 PRN18630
CROSS INSURANCE, INC. - NEW HAMPSHIRE
01/30/2023 AGR136219
BRIAN G. DALY
07/20/2023 PRN252515
KEVIN DEATRICK
03/29/2023 PRN444590
BRYAN K. DOYLE
09/03/2024 PRN493312
DT INSURANCE AGENCY LLC
01/25/2011 AGN175600
EATON & BERUBE INSURANCE AGENCY, LLC
05/09/2019 AGN326456
EDGEWOOD PARTNERS INSURANCE CENTER
09/27/2019 AGN42693
DANIEL MARK EINSTEIN
02/25/2022 PRN87737
EMERY & WEBB INC
10/08/2009 AGN15770
ES AGENCY LLC
04/11/2019 AGN328218
AMBER J. ETNYRE
04/26/2023 PRN449613
DAVID S. FEHRS
10/11/2000 PRN69148
LUKE BRIAN FEHRS
10/13/2022 PRN430578
JOHN J. FEITELBERG
12/05/2021 PRN64228
DIANA BLAIR FENTON-LAPOINT
09/29/2020 PRN297170
WILLIAM M. FLEMING JR
03/12/2008 PRN150906
HERB FRIED
04/12/2011 PRN188285
CAMERON GALLAWAY
01/15/2018 PRN289667
WILLIAM BRETT GODWIN
05/01/2024 PRN406214
CRAIG M. GRANT
02/15/2022 PRN406837
SARA NICOLE HALANSKY
06/03/2022 PRN390670
CHRISTOPHER C. HARRIS
04/17/2001 PRR40382
PARKER HARVEY
06/27/2008 PRN132905
HEALTHCARE PROFESSIONAL SERVICES INC
06/24/2008 AGN136419
ASHTON HEIDENREICH
07/07/2021 PRN386606
JEFFREY RICHARD HEILE
05/09/2017 PRN211750
KYLEE HEINOLD
10/07/2009 PRN170478
CHARLES PHILIP HODSON
07/15/2015 PRN74507
PHILLIP J. HOLDERNESS
10/25/2018 PRN312358
ERIN HOPKINS
03/18/2019 PRN327805
HUB INTERNATIONAL NEW ENGLAND LLC
12/11/2006 AGN38279
HUNTINGTON INSURANCE INC
04/01/2023 AGN92950
ABIGAIL HOPE IM
09/26/2024 PRN186081
INNOVATION GROWTH PARTNERS SPECIALTY, LLC
04/09/2025 AGN40720
INSZONE INSURANCE SERVICES LLC
02/01/2024 AGN202592
KIM MARIE JOHNSON
09/28/2006 PRR31388
JOEL RICHARD KEIRNS
03/25/2005 PRN100545
TIMOTHY F. KELLY
12/14/2006 PRN83497
CATHLEEN KONNER
01/20/2015 PRN137701
GARY LAMB
09/18/2016 PRN219690
MELISSA LETOW
02/19/2021 PRN374708
BRADLEY WILLIAM LLOYD
03/28/2005 PRN38287
LOCKTON COMPANIES LLC
05/23/2007 AGN123337
RICHARD B. LOSS
04/01/2023 PRN447595
BETHANY LYNN LOVING
09/25/2020 PRN74605
KENNETH JAMES MACKUNIS
10/01/2019 PRN45994
JAMES J. MAHONEY
08/11/2006 PRN66147
IVAN MONTFORD MAROEVICH JR
10/17/2024 PRN62629
MARSH & MCLENNAN AGENCY LLC
02/25/2022 AGN171044
MARSH USA LLC
09/25/2019 AGN37019
SYDNEY MCKERR
08/05/2014 PRN236173
JAMES MCNITT
04/16/2019 PRN307411
ROBERT DONALD MEARS III
11/15/2007 PRN75127
MEDPRO INSURANCE SERVICES LLC
04/01/2004 AGN47977
HUNTER MEFFORD
06/04/2024 PRN485274
MERI INSURANCE SERVICES, LLC
12/22/2021 AGN403772
EVAN MILLER
04/22/2021 PRN380791
MATTHEW MILLER
04/09/2020 PRN352424
STEPHEN MICHAEL MILLER
09/23/2022 PRN236899
MISSOURI DENTAL INSURANCE SERVICES, INC
05/06/2024 AGN483363
JOHN A. MITSOS
10/11/2000 PRN26502
MICHAEL MOONEY
09/02/2020 PRN122686
DAVIS DONALD MOORE
08/20/2010 PRN76867
JENNA MORT
04/06/2019 PRN329043
ROBIN MOSER
04/02/2025 PRN511800
SHAELYN MOUNTZ
07/17/2024 PRN488855
MARK J. MULLARKEY
12/22/2022 PRN415121
BRANDON MUMM
10/26/2023 PRN467790
PAUL MUNSTER
10/23/2023 PRN227022
CYNTHIA ANN MYERS
10/19/2022 PRN405819
MELINDA S. NERO
05/11/2023 PRN450301
CYNTHIA NEUHOUSER
04/06/2019 PRN327820
NFP HEALTHCARE INDUSTRY INSURANCE SERVICES INC
09/26/2018 AGN49977
DANIEL NIELSON
11/26/2008 PRN160621
NSM INSURANCE SERVICES LLC
03/01/2012 AGN99665
NUTMEG INSURANCE AGENCY INC
05/22/2006 AGN53516
PATRICK CHARLES OBRIEN
11/15/2007 PRN77486
AARON CHRISTOPHER PAOLINI
06/14/2022 PRN269168
D THOMAS PATERSON
08/30/2010 PRN180407
JOHN PAULK
07/16/2020 PRN218113
LESLIE PICKLE
09/27/2019 PRN178220
BLAKE PODSCHLNE
07/07/2021 PRN386916
PROFESSIONAL INSURANCE PLANS, INC.
09/06/2024 AGN458374
JOSEPH W. PUCEL
11/20/2009 PRN169658
KENDALL QUINN
10/25/2023 PRN461158
ALANA MARIN REICHER
05/02/2013 PRN192121
DAVID REICHER
01/25/2011 PRN179083
PHILIP EUGENE REISCHMAN
01/31/2012 PRN51148
AARON DOUGLAS RICHARD
11/23/2020 PRN310581
RISK PLACEMENT SERVICES INC
10/30/2009 AGN62458
ROCKWOOD PROGRAMS INC
08/03/2011 AGN78713
DAVID ROSNER
03/16/2011 PRN131823
PATRICK ROSS
11/15/2007 PRN75129
MICHAEL PAUL ROTHMAN
11/15/2007 PRN75133
RSG SPECIALTY LLC
10/25/2018 AGN176560
REBECCA RUDOLPH
08/26/2024 PRN492931
ROBERT JOSEPH RUSSELL JR
11/10/2005 PRN120252
SHARON L. RUTH
05/22/2020 PRN230803
SAFEHOLD SPECIAL RISK INC
07/16/2020 AGN141202
JOSEPH W. SARAIVA
07/13/2018 PRN311041
TERRENCE MICHAEL SCALI
08/08/2014 PRN84048
JAMIE SCHAMPER
02/08/2013 PRN213358
RICHARD STEVEN SCHORNACK
01/08/2007 PRN70343
SDMS INS SERVICES INC
10/05/2017 AGN267000
CORY P. SHANE
10/01/2018 PRN291535
CAMERON SHANK
05/23/2022 PRN418931
GROVER BRADLEY SIMPSON
08/03/2006 PRN93947
ELLIE SISTEVARIS
02/19/2020 PRN349429
ELIZABETH M. SLANE
05/05/2018 PRN181398
GRANT SMTIH
04/03/2019 PRN317049
SPECIALTY PROGRAM GROUP LLC
07/20/2022 AGN278764
ALEXANDER DONIPHAN SPILLER
04/23/2015 PRN246854
MARK M. SPRING
11/14/2016 PRN277966
STERLING SEACREST PRITCHARD, INC
05/01/2024 AGN232754
BROOKE SULLIVAN
04/22/2021 PRN380742
KYLE P. SULLIVAN
09/20/2024 PRN224983
RICHARD JJ SULLIVAN III
07/07/2009 PRN123690
SYMPHONY RISK SOLUTIONS, LLC
10/17/2024 AGN456331
ATON U. TEITELBAUM
06/30/2005 PRN82147
ISRAEL TEITELBAUM
11/01/2000 PRN56665
KATHLEEN TOMPKINS
11/02/2022 PRN328356
TRELOAR AND HEISEL INC
09/07/2007 AGN27615
NANCY ELAINE TULLY
04/10/2024 PRN471159
TIMOTHY WILLIAM TURNER
04/20/2019 PRN66875
UIG INC
01/24/2024 AGR123009
USI INS SERVICES LLC
07/18/2008 AGN147905
USI SOUTHWEST INC
09/25/2020 AGN81982
PATRICK JAMES VEALE
05/21/2014 PRN91782
JOSEPH VONDERHAAR
08/26/2020 PRN359694
EMILY ANNE WAIT
04/07/2015 PRN248647
CHRISTOPHER JAMES WALTERS
02/01/2024 PRN428231
RODNEY WARREN
07/29/2019 PRN335058
JOHN C. WEBB III
11/05/2019 PRN189774
DONOVAN WEGER
10/16/2012 PRN199604
TONYA WENTZ
06/23/2021 PRN200252
TYLER WHITE
04/14/2025 PRN499300
JERRI ANN WILDHABER
05/06/2024 PRN483240
WILLIS TOWERS WATSON MIDWEST INC
08/30/2010 AGN36667
JOHN STANLEY WILLSEY
07/15/2018 PRN64759
WORLD INS ASSOC LLC
04/25/2022 AGN304312
WORLDWIDE FACILITIES LLC
08/15/2010 AGN77373
SHANE WYANT
02/07/2007 PRN135504
DEVIN YODER
03/20/2019 PRN327933
GREGORY YOST
01/22/2024 PRN333216

Supervised Entity

None.

Authority

Description Issue Date Termination Date Status
FIRE 12/18/2024 Active
ALLIED LINES 12/18/2024 Active
COMMERCIAL MULTIPLE PERIL 12/18/2024 Active
INLAND MARINE 12/18/2024 Active
MEDICAL MALPRACTICE 11/21/1996 Active
EARTHQUAKE 12/18/2024 Active
OTHER LIABILITY 11/21/1996 Active
PRODUCTS LIABILITY 12/18/2024 Active
AUTO LIABILITY 12/18/2024 Active
AUTO PHYS DAMAGE 12/18/2024 Active
FIDELITY 12/18/2024 Active
GLASS 12/18/2024 Active
BURGLARY AND THEFT 12/18/2024 Active
BOILER AND MACHINERY 12/18/2024 Active

Contacts

Type Contact
PRODUCER LICENSING CONTACT JACQUELINE CAMPBELL
JACQUELINE CAMPBELL
5814 REED RD
FORT WAYNE, IN 46835-3568
Phone: +1 (260) 492-4647
Fax: +1 (972) 543-9237
Email: jacqueline.campbell@medpro.com
SERVICE OF PROCESS PRETI FLAHERTY BELIVEAU & PACHIOS
ONE CITY CTR
PO BOX 9546
PORTLAND, ME 04112-9546
Phone: +1 (207) 791-3000

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN)

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 09:04:55 PM