black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

TRIAD INSURANCE MANAGEMENT & SERVICES AGENCY INC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN76584
Status:
First Licensure:
03/05/2001
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
117 JOHN ROBERT THOMAS DR
EXTON, PA 19341-2654
Mailing:
PO BOX 1587
EXTON, PA 19341-0138
Phone:
+1 (610) 280-9980
Fax:
+1 (610) 280-9985
Email:
triad@3hcs.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 03/05/2001 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
ACCELERANT NATIONAL INSURANCE COMPANY
02/20/2023 PCF83583
AMERICAN HALLMARK INSURANCE COMPANY OF TEXAS
04/27/2017 PCF166733 02/08/2024
ARCH INDEMNITY INSURANCE COMPANY
01/14/2004 PCF674 03/27/2012
CLARENDON NATIONAL INSURANCE COMPANY
07/27/2001 PCF399 12/27/2007
GREAT AMERICAN ASSURANCE COMPANY
01/14/2004 PCF702 05/25/2021
GREAT AMERICAN INSURANCE COMPANY
10/20/2005 PCF764 05/25/2021
HDI GLOBAL INSURANCE COMPANY
08/09/2023 PCF167923
MITSUI SUMITOMO INSURANCE COMPANY OF AMERICA
07/20/2023 PCF82584
MITSUI SUMITOMO INSURANCE USA INC
07/20/2023 PCF1019
PRAETORIAN INSURANCE COMPANY
06/30/2010 PCF68207 11/06/2020
QBE INSURANCE CORPORATION
06/30/2010 PCF82307 11/06/2020
STARSTONE NATIONAL INSURANCE COMPANY
07/31/2012 PCF544

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
LISA A. DASCALOFF
09/20/2007 PRN143339

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
LISA A. DASCALOFF PRN143339

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
3926012

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: 05/15/2025 11:19:31 PM