black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

INSURANCE COMPANY OF NORTH AMERICA

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:
PCF480
Status:
First Licensure:
07/25/1970
Cancel Date:
None
Renewal Date:
08/10/2025
NAIC Code:
22713

Mailing:
PO BOX 1000
436 WALNUT ST
PHILADELPHIA, PA 19106-3703
Phone:
+1 (212) 640-5259
Email:
john.marlow@chubb.com

History

License Type Start Date End Date
INSURANCE COMPANY 03/01/1990 08/10/2025

Employee

Name Issue Date License Number Expiration Date Cancel Date
ALAN R. MOTT AGENCY, INC.
01/22/2010 AGN165129
MATTHEW ROBERT ANDERSON
06/30/2021 PRN132347
ARTHUR J GALLAGHER RISK MANAGEMENT SERVICES LLC
08/07/2013 AGN37963
ASSUREDPARTNERS NORTHEAST LLC
06/25/2014 AGN197878
JEFFREY F. BERNDT
12/24/2003 PRN51791
FRANK DONALD BRADFORD II
12/09/2003 PRN58475
NORMAN C. BREITENBACH
05/22/2018 PRN307801
KELLY M. BURPEE
04/01/2001 PRR39413
MICHELLE JOY CHARLOUX
04/01/2001 PRR41520
CHUBB INSURANCE SOLUTIONS AGENCY INC
04/13/2000 AGN68648
COREPOINTE INSURANCE AGENCY INC
04/01/2005 AGN57624
CROSS INSURANCE, INC. - MAINE
04/01/2001 AGR19087
JONATHAN MICHAEL CROSS
04/01/2001 PRR61663
ROYCE MARVIN CROSS
04/01/2001 PRR4897
VANESSA JANE DARLING
04/01/1996 PRR22905
SCOTT BAILEY GRAMLING
10/05/2011 PRN67741
SPENCER EDWARD GRAY JR
04/24/2002 PRR31235
WANDA R. KASPERBAUER
09/12/2008 PRN126947
KENNEBUNK SAVINGS INSURANCE INC
03/01/2004 AGR12201
DEBRA JEAN KENNEY
04/01/2001 PRR41525
ROBERT R. KINSEY
11/10/2004 PRN49525
THOMAS R. KOZERA
06/25/2014 PRN38364
BETH LAWSON
03/16/1999 PRR59326
MARINE UNDERWRITERS AGENCY INC
11/10/2004 AGN49584
MARSH USA LLC
08/24/2004 AGN37019
MARA MEISTERBURG
03/05/2012 PRN200314
THOMAS B. MOTT
01/22/2010 PRN146745
JOHN RAYMOND MUHA
06/07/1995 PRN42539
NBOA MARINE INSURANCE AGENCY INC
02/13/2009 AGN51792
KELLY ANNE NEPTUNE
04/01/2001 PRR59972
DENNIS LEE PRICE JR
04/08/2020 PRN133900
SPECIALTY PROGRAM GROUP LLC
06/30/2021 AGN278764
TROUTMAN & ASSOCIATES INC
12/14/2001 AGN81538
RANDALL D. TROUTMAN
12/14/2001 PRN81537
MARK VANEPPS
05/17/2006 PRN126796
VERITA CSG, INC.
08/20/1998 AGN22246

Supervised Entity

None.

Authority

Description Issue Date Termination Date Status Additional Information
HEALTH 03/01/1996 Active
FIRE 03/01/1996 Active
ALLIED LINES 03/01/1996 Active
FARMOWNERS MULTIPLE PERIL 03/01/1996 Active
HOMEOWNERS MULTIPLE PERIL 03/01/1996 Active
COMMERCIAL MULTIPLE PERIL 03/01/1996 Active
OCEAN MARINE 03/01/1996 Active
INLAND MARINE 03/01/1996 Active
MEDICAL MALPRACTICE 03/01/1996 Active
EARTHQUAKE 03/01/1996 Active
WORKERS COMPENSATION 05/21/1997 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
FIDELITY 03/01/1996 Active
SURETY 03/01/1996 Active
GLASS 03/01/1996 Active
BURGLARY AND THEFT 03/01/1996 Active
BOILER AND MACHINERY 03/01/1996 Active
CREDIT 03/01/1996 Active
FEDERAL FLOOD INSURANCE 09/05/1997 Active
LIMITED TO HOME STATE 12/31/1992 03/01/1996 Terminated
Designated State

PROPERTY AND CASUALTY 01/01/1901 03/01/1996 Terminated

Contacts

Type Contact
PRODUCER LICENSING CONTACT THOMAS CORR
THOMAS CORR
436 WALNUT ST # WA04B
PHILADELPHIA, PA 19106-3703
Phone: +1 (215) 640-2590
Fax: +1 (215) 640-2795
Email: tom.corr@chubb.com
WORKERS COMPENSATION CLAIMS DANIEL HAWTHORNE
INSURANCE COMPANY OF NORTH AMERICA
1 BEAVER VALLEY RD
WILMINGTON, DE 19803-1115
Phone: +1 (302) 476-6658
Email: claimscompliance@chubb.com
SERVICE OF PROCESS CT CORPORATION SYSTEM
128 STATE ST # 3
AUGUSTA, ME 04330-5630
Phone: +1 (855) 316-8944
Email: info@ctadvantage.com

License/Disciplinary Action

Case Action Taken Date
RIRS-1761 Consent Order 02/28/2013

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
22713

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 01:18:50 PM