black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JEFFERSON INSURANCE COMPANY

One or more of the licenses listed below were subject to license/disciplinary action. Details regarding each action can be found below under the affected license.

INSURANCE COMPANY

License Number:
PCF488
Status:
First Licensure:
03/27/1968
Cancel Date:
None
Renewal Date:
08/10/2025
NAIC Code:
11630

Street Location:
1633 BROADWAY FL 42
NEW YORK, NY 10019-6708
Mailing:
ALICIA DIEHL
9950 MAYLAND DR
RICHMOND, VA 23233-1463
Phone:
+1 (804) 965-8011
Fax:
+1 (804) 673-1590
Email:
alicia.diehl@allianzassistance.com

History

License Type Start Date End Date
INSURANCE COMPANY 02/28/1990 08/10/2025

Employee

Name Issue Date License Number Expiration Date Cancel Date
AAA NORTHERN NEW ENGLAND INSURANCE
04/13/2011 AGR29500
AGA SERVICE COMPANY
11/06/2007 AGN38374
HEATHER O KENNON ALLEN
08/03/2022 PLN423144
ALLIANT INSURANCE SERVICES INC
09/25/2013 AGN91433
VAN ANDERSON
08/21/2015 PLN254227
RAINA ASHLEY ANDRES
04/21/2025 PLN512901
ASAEL HOSHEA ANTELMAN
05/23/2024 PLN483944
DESTINEY MARIE ANTUNEZ
02/07/2022 PLN409224
AON PRIVATE RISK MANAGEMENT INSURANCE AGENCY INC
06/14/2012 AGN57444
JOHN FREEMAN ARMSTRONG III
02/22/2023 PRN117210
CYNTHIA DIANE ARNOLD
10/02/2017 PRN293186
CHELSEE SHAYNE ATKINS
04/15/2022 PLN415638
SIERRA ADRIANNA AVINO
10/06/2022 PLN431612
EMIL ENRIQUE BAEZ SALAZAR
02/11/2025 PLN506756
JOVARIA YSHECKA BAILEY
08/18/2022 PLN425879
ANGELIQUE LATARSHA BAKER
01/13/2011 PLN178900
GAYLE ANN BAKER
12/05/2008 PLR23065
THE BALDWIN GROUP SOUTHWEST, LLC
05/07/2010 AGN102841
DAVID TIMOTHY BARDEN
07/12/2022 PLN421315
EMAN BARHOUMEH
10/16/2016 PLN271532
ELIZABETH ANN BEAUSANG
02/06/2009 PLR116331
RAYMOND EARL BENNETT
11/04/2022 PLN435918
DUANE KENNETH BOYD JR
09/10/2012 PLN205830
JAMES ANDREW BRATTEN
06/29/2023 PLN454660
ANDREW ALBERT BROOKER
03/10/2022 PLN412257
LATESHIA DASHONN BROWN
08/03/2023 PLN457752
PAULETTE MIRANDA BROWN
01/13/2011 PLN179308
LACORIA PATRICE BRYANT
06/29/2023 PLN454871
MELANIE ANNETTE BURKHAM
09/26/2022 PLN431011
ANYA AIREE BUTLER
07/12/2022 PLN422002
CHASE H. BUTLER
02/28/2019 PRN146582
C P FRANCHISING LLC DBA CRUISE PLANNERS
08/20/2012 AGN205787
MCFALANN CALIXTE
06/29/2022 PLN419614
RICHARD J. CAPUTO
05/30/2024 PRN415331
CARLSON & CARLSON INCORPORATED
11/07/2019 AGN43741
PETER ERIC CARLSON JR
11/07/2019 PRN43742
ROBERT CAVALIERE
08/20/2018 PRN313146
CBIZ INSURANCE SERVICES INC
05/05/2010 AGN71942
ADRIENNE MARIE CHAPPELL
03/01/2023 PLN444270
CHARLES L CRANE AGENCY COMPANY
05/05/2010 AGN55101
CHARLES R GRANT INSURANCE AGENCY INC
05/05/2010 AGN79878
AMANDA KATHLEEN CHAVERS
04/18/2025 PLN512975
RAFAEL A. CHECA
04/23/2012 PLN202008
NANCY A. CHICKADEL
01/15/2020 PRN114846
ROCHELLE ASHLEY CHIN PALMER
04/12/2023 PLN448359
JANE ELLEN C CHIPMAN
04/16/2012 PLR21194
STACEY ELLIOT CHRISTIAN
10/06/2022 PLN432085
KELLY KENDALL CLANTON
06/21/2024 PLN486934
CLARKE & SAMPSON LLC
05/05/2010 AGN54017
PAMELA J. CLARKE
10/08/2012 PRN103607
ALEXANDRIA NICOLE COLLETTE
03/21/2016 PRN256429
COMMERCIAL INSURANCE ASSOCIATES LLC
05/05/2010 AGN98896
JOHN W. COOK
08/28/2007 PLN48623
NICHOLAS CORREA
04/12/2023 PLN448505
BRAYDEN MICHAEL CRAIG
02/09/2024 PLN475507
SARAH CRAIG
10/06/2023 PRN360825
LATOYA CRANDALL
07/26/2022 PLN423433
BENJAMIN TYLER CRANE
07/25/2022 PRN311780
STACIE GALE CROWDER
02/11/2022 PLN409223
D&P HOLDINGS INC
02/22/2023 AGN117800
MAXINE ELIZABETH DANIELY
01/19/2011 PLN178030
KRISTIYAN D. DAVIDKOV
09/11/2015 PRN255609
ASIA MONIQUE DAVIS
08/17/2022 PLN425110
JEFFREY P. DAY
05/20/2009 PLR95801
DAYS TRAVEL BUREAU
05/20/2009 AGR1094
CHRISTINA S. DEMARCO
12/20/2018 PLR51805
MICHAEL JERRY DEMMONS
08/27/2007 PLR112656
ROBIN ANN DESJARDINS
08/28/2007 PLR35944
ALEJANDRO DIAZ
04/18/2025 PLN513122
TAKEYAHCHERRI LAHMONIQUE DICKS
02/24/2023 PLN443975
DKMK ENTERPRISES, LLC
02/26/2025 AGN503726
ANGELA C. DOBSON
12/05/2008 PRN148664
ANTHONY WILLIAM DOCKERY
08/09/2022 PLN425550
CORYDON DOERR
12/11/2013 PLN224878
CHRISTOPHER MICHAEL DOLAN
09/27/2022 PLN431401
NANCY DORRANS
07/22/2015 PLR252767
CARLENE ELIZABETH DREXLER
06/06/2022 PLN418277
CHRISTOPHER DUBE
04/24/2009 PLR165010
SAMANTHA THACKER DURRETT
01/24/2012 PLN199041
IRINA DYNOV
11/11/2014 PRN209812
EBAY INS SERVICES INC
09/28/2018 AGN118608
ECBM LP
05/06/2010 AGN115617
EDGEWOOD PARTNERS INSURANCE CENTER
05/06/2010 AGN42693
LAKISHA LATRICE EDMONSON
02/24/2025 PLN508344
HAKAN ERSOY
06/23/2017 PLN279907
FAIRFIELD COUNTY BANK INSURANCE SERVICES LLC
05/06/2010 AGN154826
LISA M. FAJGENBAUM
02/23/2024 PRN312649
VALERIE GAYLE FARREN
08/28/2007 PLR127856
MICHELLE JANINE FEDORYK
09/24/2013 PLN221608
MICHELLE FEE
11/26/2019 PLN344625
FELTON BERLIN & ERDMANN INS SERVICES INC
05/19/2011 AGN38142
TARIKA LATRIESE FENNER
04/15/2011 PLN179314
JULIO JAIME FERNANDEZ JR
05/01/2015 PLN249114
FLIGHT CENTRE TRAVEL GROUP (USA) INC
10/21/2020 AGN229279
JAMIE LEIGH FLORIANO
08/22/2022 PLN426867
ELLEN MARY FOGG
12/19/2008 PLR7429
FROSCH INTERNATIONAL TRAVEL LLC
04/17/2013 AGN214744
LUCIA M. FUENTEFRIA
09/17/2015 PLN255958
AMY LOUISE GALINEAU
06/24/2011 PLN190783
GARBER ATLAS FRIES & ASSOCIATES INC
05/07/2010 AGN110483
MADELINE GRACE GIBBONS
07/12/2022 PLN423200
DOUGLAS WENDELL GIBSON JR
03/22/2018 PRN304753
GROSS & CO LLC
05/07/2010 AGN162142
KAREN SACHS GROSS
12/11/2014 PLN243031
MIKE STUART GROSS
11/13/2017 PRN288576
MELISSA SOLANSH GUERRERO
04/21/2025 PLN513035
MONA S. GWYNN-SPRUEL
12/05/2022 PLN437470
KATHY DENISE HABRON
12/23/2013 PLN226482
HOWARD C. HAGGERTY
10/04/2012 PRN170441
KIANA RENEE MOON HALE
01/09/2023 PLN439967
HALLAHAN MCGUINNESS & LORYS LTD
05/07/2010 AGN108348
ANTHONY HAMAWY
09/24/2013 PLN221523
THE HAMILTON GROUP LLC
05/07/2010 AGN52878
NOLDEN ALPHONSO HARRELL
05/18/2011 PLN179315
YVETTE D. HARRIS
03/03/2025 PLN508733
DOMINIQUE DUANE HARRISON
10/19/2022 PLN433908
AIDAN HARVEY
02/25/2013 PRN212879
LORRAINE LINNETTE HAYE
06/21/2024 PLN485695
DARYL IMANI HAYNES
08/08/2022 PLN425104
ELIZABETH CAROLINE HEAD
06/07/2016 PRN268878
MICHAEL M. HEAD
05/08/2017 PRN286154
BRANDON LOUIS HEID
02/09/2024 PLN475305
STEVEN ROBERT HEINITZ
07/26/2022 PRN340474
MARK LEE HENSON
06/30/2010 PRN178490
DOREEN ELIZABETH HERLINSKY
06/11/2009 PRN99361
KURT OTTO HEUER
04/21/2025 PLN512954
TIFFANY JOVAN HICKS
07/25/2022 PLN423129
TIYIA JEVADA HILL
05/09/2022 PLN417640
STEVEN MARC HIRSHAN
04/23/2012 PLN202040
HUB INTERNATIONAL GREAT PLAINS, LLC
05/06/2010 AGN85046
HUB INTERNATIONAL MIDWEST LIMITED
05/07/2010 AGN36117
RONETTE HUDGINS
03/09/2022 PLN412258
TIFFANY DAWN HUFF
07/12/2022 PLN421939
MICHELLE GENTRY HUFFMAN
07/25/2022 PLN423286
ELLSWORTH H K HULIHEE JR
07/11/2022 PRN386288
PAMELA A. HURLEY-MOSER
08/17/2011 PLR39866
JEFF HURST
10/25/2019 PLN249700
INSURANCE MANAGEMENT ASSOCIATES
05/07/2010 AGN36980
INSURANCE SERVICE OF HAWAII LLC
07/13/2022 AGN386319
INTERLINE TRAVEL & TOUR INC
10/08/2012 AGN207533
INTERMARKET INSURANCE AGENCY INC
05/07/2010 AGN56502
INTERWEST INSURANCE SERVICES LLC
05/07/2010 AGN38810
ANA MARIE ESTHER ISMODES
02/18/2016 PRN65777
THE JAMES B OSWALD COMPANY
05/07/2010 AGN37114
JOHNSON KENDALL & JOHNSON INC
05/07/2010 AGN43355
CHERIE ELIZABETH JOHNSON
02/11/2025 PLN507126
KIMBERLY EPPS JOHNSON
06/28/2011 PLN191262
PENNY MARIE JOHNSON
01/18/2022 PLN407949
DAVID LEE KAMPERT
02/26/2025 PRN503612
PHILIP KAYE
09/06/2017 PLR85706
KEH INSURANCE AGENCY INC
05/07/2010 AGN105537
TERRELL MICHAEL KELLEY
07/26/2022 PLN423996
MICHELLE KENNEDY
08/09/2022 PLN425069
DAVID BRUCE KILTON
12/26/2013 PLR153451
DORIAN SHEREE KIZZIE
02/03/2025 PLN506541
LANDON REID KNOWLES
12/15/2023 PLN471412
KOLMIND INSURANCE SERVICES INC.
08/28/2024 AGN481568
CHELSEA KOTAY
12/05/2022 PLN437486
JEANNE KOZMINSKI
08/22/2022 PLN426823
KENNETH G. KREUTZ
08/19/2009 PRN92121
RAYLE EREN KROBOTH
07/07/2022 PLN422345
TOM KRUSZEWSKI
06/21/2012 PLN203957
MARCY WALLIN KUTCHER
02/24/2025 PLN507531
LANDSMAN INSURANCE SERVICES
05/05/2025 AGN511212
JAMIE LANDSMAN
05/05/2025 PRN509993
DENNIS TYLER LEDOUX
07/25/2022 PLN423131
ERIC CHRISTOPHER LEE
08/18/2011 PLN192313
RICHARD DAVID LEIBMAN
03/07/2013 PLN213949
CHELSEA NICOLE LIBERTO
04/10/2015 PLN248547
THE LIPSCOMB INSURANCE GROUP INC
05/07/2010 AGN83966
CYNTHIA DALE LOVING
12/01/2015 PRN260263
EUGEINIA JOYCE LUCZKOVICH
08/15/2011 PLN192405
M J INSURANCE INC
05/07/2010 AGN66792
KAREN E. MAGUIRE
12/06/2011 PLN197237
MALLOY IMRIE & VASCONI INSURANCE SERVICES LLC
05/07/2010 AGN165382
JUDY MAE MANN
06/26/2012 PLN203621
JAMES V. MANNINO
10/15/2013 PRN63286
MARSH & MCLENNAN AGENCY LLC
03/19/2019 AGN171044
MARTIN & ZERFOSS INC
05/07/2010 AGN85800
KRISTOPHER ROBERT MASON
01/13/2017 PRN269483
MALEKAH ARDILIA MASON
05/17/2011 PLN177813
SUZANNE M. MATTEI
02/24/2025 PLN508397
DEBORAH A. MATTHEWS
07/07/2010 PLN177814
SHERYL ANN MCCREARY
11/30/2012 PLN209763
MCGRIFF INSURANCE SERVICES LLC
05/04/2010 AGN54463
CATHY HALE MEREDITH
12/06/2011 PLN197437
JULIE L. MINES
07/19/2022 PLN423130
URSULA ANNETTE MINES
04/29/2025 PLN513806
JACOB MITCHELL
02/12/2020 PRN299156
TAYLOR LEMAR MITCHELL
04/21/2025 PLN513178
ROBERT ANDREW MOGIL
10/30/2007 PRN107937
MONEY GROUP INS, LLC
08/13/2024 AGN472216
MONEY PUBLISHING GROUP, LLC
08/07/2019 AGN253458
CASSIE NICOLE MOORE
02/05/2015 PLN243957
JOEY MOORE
11/10/2015 PLN256482
ASHLEY JOHN MORRISON
06/28/2023 PLN454658
MATTHEW ROBERT MORRISON
12/20/2024 PRN202825
MSG PERSONAL LINES AGENCY LLC
05/07/2010 AGN150002
THERESA LYNN MURDOCK
03/10/2022 PLN412259
JOANNE MURRAY
10/30/2007 PRN44102
NATURAL INTELLIGENCE TECHNOLOGIES INC
07/19/2024 AGN324968
NEXT GENERATION INSURANCE GROUP LLC
02/03/2021 AGN162097
SHELBY M. NICHOLSON
02/25/2013 PLR213261
MADISON M. NIKOLIS
12/18/2019 PRN345692
KELLY ANN NOLAN
05/19/2011 PLN178648
MARINA NOVIKOV
06/26/2015 PLN251390
ALEJANDRA CAMILLE ORTIZ HERNANDEZ
09/16/2024 PRN395271
OWENS GROUP LIMITED INC
05/06/2010 AGN85614
KIANA MONAE OWENSBY
10/06/2022 PLN431616
JULIANA ANEL PAGAN
07/19/2022 PLN422985
PANTHERA INSURANCE PARTNERS, LLC
03/15/2024 AGN464327
MARY AMELIA PATE
03/04/2024 PLN476872
NORMAN LEO PATRY
12/26/2019 PLR75943
JOSEPH GEORGE PCOLINSKY
02/29/2024 PLN473762
CHRISTINA CAROLINE PEDRONI
10/26/2020 PLN366094
PATRICIA ANN PERKINSON
05/11/2011 PLN181515
DARYL SCOTT PLANTE
08/15/2019 PRN335517
JODY POND
05/14/2009 PLN163060
FRANCINE HAY POWEL
08/06/2019 PRN252813
PAMELA VICTORIA PREGONY
07/07/2010 PLN177356
EDWARD LEE QUARLES
05/18/2011 PLN178909
MINERVA RAMONA RAINEY
12/11/2014 PLN243033
EVA RAJBHANDARI
02/19/2015 PLN246170
REGINALD RANKINS
07/19/2022 PLN421935
APRIL NICOLE REDD
07/12/2022 PLN422913
BRITTNEY ELIZABETH REED
04/18/2025 PLN513145
JERRY LYNN RENNER
04/21/2025 PLN513247
ROBERTSON RYAN & ASSOCIATES INC
05/05/2010 AGN52981
CHARON BEVERLYN ROBINSON
06/28/2023 PLN454656
NYASIA TAMERA ROBINSON
09/20/2022 PLN430380
DIANE MARIE RODERIGUE
05/20/2009 PLR14536
HEIDY JENNIFER RODRIGUEZ
06/07/2022 PLN419281
MELBA REBECA RODRIGUEZ
11/18/2011 PLN196805
KIRSTI ELIZABETH ROESNER
02/19/2015 PLN246171
DAWN MARIE ROGERS
11/23/2011 PLN196659
WILLESLEYANN MARIE ROSE
04/11/2023 PLN448356
ROSENZWEIG INSURANCE AGENCY INC
07/28/2022 AGN332939
LAWRENCE M. ROSENZWEIG
07/28/2022 PRN332675
KAREN SUE RUBLEE
05/05/2017 PLR19473
NASSER SALIM
10/31/2023 PLN466983
MARTHA T. SANTANA
12/04/2008 PRN136438
ALAINA JOY SAUNDERS
12/29/2021 PLN406008
ELIZABETH FRANCES SAYER
02/24/2025 PLN508389
LAWRENCE J. SCANLON JR
06/30/2014 PRN72924
CAROLYN L. SCHAEFER
07/10/2020 PRN100586
MAX R. SCHRAYER
03/07/2013 PRN92508
TANYA MONIQUE SCOTT
07/13/2022 PLN421791
ANIL K. SHARMA
02/09/2016 PRN212524
COLLIN JAMES SHELTON
04/29/2025 PLN513826
DHARAH SAKEENA SHEPPARD
07/13/2022 PLN421753
KRISTAN A. SHOCK
12/23/2021 PLN405773
ANDREW J. SKLOVER
10/31/2007 PRN55249
CHELSEY MARIE SLADE
11/12/2014 PLN240003
KIANA SMITH
12/23/2021 PLN405784
PAUL CHRISTIAN SMITH
04/04/2022 PLN413439
LEE ANTHONY SMOLINSKI
03/01/2017 PLN213187
SOCIETE AIR FRANCE
04/21/2020 AGN352874
ANDREW ROBERT SPIELVOGEL
02/05/2009 PLR161242
AUGUST MILLER SPLITTORF
07/11/2011 PLN191249
SQUAREMOUTH LLC
10/24/2024 AGN190633
LISA LEVIN STEGALL
06/25/2009 PRN110338
STERLING & STERLING LLC
06/04/2021 AGN37483
RIAN RENEE STONE
11/06/2015 PRN259575
MAURICE ANTHONY SUMMERS
03/03/2025 PLN508626
WILLIAM A. SUNESON
08/25/2016 PRN161022
SAMANTHA LYNN SWERKES
07/03/2024 PRN314308
MICHAEL CARL TAYLOR
01/11/2012 PLR198377
ELIZABETH AMBER THOMAS
07/24/2014 PLN235063
STAIRISH LEA THOMAS
03/01/2023 PLN444565
BRANDY NICOLE THOMPSON
03/09/2017 PRN283138
TICKETMASTER LLC
10/22/2014 AGN166355
REBECCA NEWTON TOBEY
03/10/2025 PLN192816
LAWRENCE V TOOLE INS AGENCY INC
01/25/2018 AGN209458
MICHAEL CHRISTOPHER TORRES
06/29/2023 PLN454847
TWILIGHT TOURS INC
02/05/2009 AGR161243
UNITED AGENCIES INC
05/05/2010 AGN74429
PETER J. VALIANTE-BRYANT
11/13/2014 PRN241446
JOVAN MATHEW VALLS
10/19/2022 PLN433836
JULIE LYNN VAUGHAN
02/11/2025 PLN506773
DONALD FIELD WALKER JR
06/21/2012 PLN203937
STACEY RACQUEL WALLACE
08/05/2022 PLN421790
TAWANA SHANEA WAUGH
02/09/2024 PLN475197
CRYSTAL LOUISE WEBB
07/05/2022 PLN420905
LAWRENCE A. WELC
08/13/2012 PLN205833
ANGELA MARIE WHITE OWL
10/02/2015 PRN256965
EBONY DANIELLE WHITE
04/18/2025 PLN513252
JUDY A. WHITTENBAUGH
12/11/2014 PLN243043
SHAE RON WHITTINGTON
07/13/2022 PLN421976
BONNIE LATRICE WILLIAMS
09/20/2022 PLN429967
WILLIS TOWERS WATSON INSURANCE SERVICES WEST, INC
05/05/2010 AGN37579
WMPH VACATIONS LLC
06/29/2012 AGN204425
WORLD INS ASSOC LLC
07/11/2019 AGN304312
BARBARA H. WRIGHT
08/02/2022 PLN424685
JASON WRIGHT
04/23/2015 PRN239250
TYRONE ALLEN WRIGHT
05/30/2014 PLN229771
YONDER TRAVEL INS LLC
04/08/2024 AGN262767
GIULIANA YONEMOTO PENHA
04/29/2025 PLN513857

Supervised Entity

None.

Authority

Description Issue Date Termination Date Status
FIRE 03/01/1996 Active
ALLIED LINES 03/01/1996 Active
HOMEOWNERS MULTIPLE PERIL 03/01/1996 Active
COMMERCIAL MULTIPLE PERIL 03/01/1996 Active
INLAND MARINE 03/01/1996 Active
MEDICAL MALPRACTICE 03/01/1996 Active
OTHER LIABILITY 03/01/1996 Active
PRODUCTS LIABILITY 03/01/1996 Active
AUTO LIABILITY 03/01/1996 Active
AUTO PHYS DAMAGE 03/01/1996 Active
AIRCRAFT (ALL PERILS) 03/01/1996 Active
PROPERTY AND CASUALTY 01/01/1901 03/01/1996 Terminated

Contacts

Type Contact
SERVICE OF PROCESS CORPORATION SERVICE COMPANY
45 MEMORIAL CIR
AUGUSTA, ME 04330-6400
Phone: +1 (800) 927-9800
Fax: +1 (302) 636-5454
Email: sop@cscglobal.com
PRODUCER LICENSING CONTACT MARK HENSON
9950 MAYLAND DR
RICHMOND, VA 23233-1463
Phone: +1 (804) 673-1474
Fax: +1 (804) 673-1598
Email: mark.henson@allianzassistance.com

License/Disciplinary Action

Case Action Taken Date
RIRS-47 Cease and Desist from Violations 10/02/1990
RIRS-1314 Consent Order 10/01/2000

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
11630

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 03:10:27 AM