black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

DEFOREST GROUP INC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN221723
Status:
Active
First Licensure:
09/17/2013
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
120 WOODS RD
KINGSTON, NY 12401-1112
Mailing:
120 WOODS RD
KINGSTON, NY 12401-1112
Phone:
+1 (845) 339-2114
Fax:
+1 (845) 802-9353
Email:
larry.rose@siaa.com

History
License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 09/17/2013 04/01/2027

Employer
Name Issue Date License Number Expiration Date Cancel Date
ALLIED INSURANCE COMPANY OF AMERICA
 12/01/2021 PCF216138
ALLIED PROPERTY AND CASUALTY INSURANCE COMPANY
 12/01/2021 PCF223935
AMCO INSURANCE COMPANY
 12/01/2021 PCF223938
AMERICAN ECONOMY INSURANCE COMPANY
 11/05/2021 PCF363 11/10/2023
THE AUTOMOBILE INSURANCE COMPANY OF HARTFORD, CONNECTICUT
 10/10/2019 PCF659 07/22/2021
DEPOSITORS INSURANCE COMPANY
 12/01/2021 PCF223940
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
 10/16/2014 PCF445
NATIONWIDE AGRIBUSINESS INSURANCE COMPANY
 12/01/2021 PCF151937
NATIONWIDE ASSURANCE COMPANY
 12/01/2021 PCF38952
NATIONWIDE GENERAL INSURANCE COMPANY
 12/01/2021 PCF30
NATIONWIDE INSURANCE COMPANY OF AMERICA
 12/01/2021 PCF422
NATIONWIDE MUTUAL FIRE INSURANCE COMPANY
 12/01/2021 PCF31 01/01/2023
NATIONWIDE MUTUAL INSURANCE COMPANY
 12/01/2021 PCF32
NATIONWIDE PROPERTY & CASUALTY INSURANCE COMPANY
 12/01/2021 PCF151089
NETHERLANDS INSURANCE COMPANY
 10/08/2019 PCF827 05/10/2024
OHIO CASUALTY INSURANCE COMPANY
 01/22/2018 PCF73059
OHIO SECURITY INSURANCE COMPANY
 01/16/2018 PCF200581 11/10/2023
PEERLESS INSURANCE COMPANY
 10/08/2019 PCF548
PHILADELPHIA INDEMNITY INSURANCE COMPANY
 04/22/2022 PCF46041
THE PHOENIX INSURANCE COMPANY
 10/10/2019 PCF557
SAFECO NATIONAL INSURANCE COMPANY
 10/08/2019 PCF248658 11/10/2023
SELECTIVE INSURANCE COMPANY OF NEW YORK
 05/19/2023 PCF437
THE STANDARD FIRE INSURANCE COMPANY
 10/10/2019 PCF584
THE TRAVELERS HOME AND MARINE INSURANCE COMPANY
 10/10/2019 PCF56556 07/22/2021
TRAVELERS PERSONAL INSURANCE COMPANY
 10/10/2019 PCF201268

Affiliated Agent
Name Issue Date License Number Expiration Date Cancel Date
LAWRENCE MICHAEL ROSE
 12/04/2023 PRN468705

Branch Office

None.

Supervised Entity

None.

Responsible Individual
Name License Number
LAWRENCE MICHAEL ROSE PRN468705

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
3272126

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: 05/19/2025 07:44:32 PM