black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

INTEGRATED SPECIALTY COVERAGES LLC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN338750
Status:
First Licensure:
09/17/2019
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
500 MAMARONECK AVE STE 320
HARRISON, NY 10528-1600
Mailing:
1811 ASTON AVE # 200
CARLSBAD, CA 92008-7396
Phone:
+1 (760) 599-7242
Fax:
+1 (866) 467-6701
Email:
staceyr@sisinsure.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 09/17/2019 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
CRUM & FORSTER INDEMNITY COMPANY
10/29/2020 PCF169608
GREAT AMERICAN ALLIANCE INSURANCE COMPANY
02/06/2023 PCF46804
GREAT AMERICAN INSURANCE COMPANY
02/06/2023 PCF764
GREAT AMERICAN SPIRIT INSURANCE COMPANY
02/06/2023 PCF46805
NORTH RIVER INSURANCE COMPANY
10/29/2020 PCF698
SUTTON NATIONAL INSURANCE COMPANY
04/16/2024 PCF398674
UNITED STATES FIRE INSURANCE COMPANY
10/29/2020 PCF101256

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
MATTHEW S. GROSSBERG
09/17/2019 PRN111487

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
MATTHEW S. GROSSBERG PRN111487

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
19079293

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: 05/17/2025 01:12:01 PM