black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

MARTRELL ANTHONY GLASS

PRODUCER NON-RESIDENT

License Number:
PRN504202
Status:
First Licensure:
12/21/2024
Cancel Date:
None

Mailing:
ELLENWOOD, GA 30294
Phone:
+1 (203) 589-5953
Fax:
+1 (203) 589-5953
Email:
martrell.glass@homesite.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 12/21/2024

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
HOMESITE INSURANCE COMPANY
12/23/2024 PCF249667
HOMESITE INSURANCE COMPANY OF THE MIDWEST
12/23/2024 PCF116371

Authority

Description Issue Date Termination Date Status
CASUALTY 12/21/2024 Active
PROPERTY 12/21/2024 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
19777266

Other Addresses

Address Type
AMWINS BROKERAGE OF GEORGIA
3630 PEACHTREE RD NE
ATLANTA, GA 30326-1543
Office

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: 06/20/2025 04:40:13 AM