black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

PATRICIA A. FORRY

PRODUCER NON-RESIDENT

License Number:
PRN119388
Status:
First Licensure:
10/15/2005
Cancel Date:
None

Mailing:
ATCO, NJ 08004
Phone:
+1 (856) 912-4215
Fax:
+1 (856) 914-0515
Email:
patricia.forry@wtwco.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 10/15/2005

Agency

Name Issue Date License Number Expiration Date Cancel Date
HILB ROGAL & HOBBS OF NEW JERSEY LLC
10/21/2005 AGN119606 03/24/2009
WILLIS OF NEW JERSEY INC
01/05/2012 AGN125055 01/03/2025
WILLIS TOWERS WATSON NORTHEAST INC
01/03/2025 AGN74349

Employer

Name Issue Date License Number Expiration Date Cancel Date
ACE AMERICAN INSURANCE COMPANY
05/17/2006 PCF640
ACE FIRE UNDERWRITERS INSURANCE COMPANY
05/17/2006 PCF43
ACE PROPERTY & CASUALTY INSURANCE COMPANY
05/17/2006 PCF44
AIG PROPERTY CASUALTY COMPANY
10/17/2019 PCF393
ALLIANZ GLOBAL RISKS US INSURANCE COMPANY
03/06/2024 PCF780
AMERICAN AUTOMOBILE INSURANCE COMPANY
08/02/2022 PCF356
COMMERCE AND INDUSTRY INSURANCE COMPANY
10/17/2019 PCF413
FEDERAL INSURANCE COMPANY
12/21/2005 PCF439
FIREMANS FUND INSURANCE COMPANY
10/24/2022 PCF443
INDEMNITY INSURANCE COMPANY OF NORTH AMERICA
05/17/2006 PCF50104
MOUNT VERNON FIRE INSURANCE COMPANY
05/21/2012 PCF83792
PACIFIC EMPLOYERS INSURANCE COMPANY
05/17/2006 PCF546
WESTCHESTER FIRE INSURANCE COMPANY
05/17/2006 PCF335 01/01/2011
WESTCHESTER FIRE INSURANCE COMPANY
11/18/2010 PCF177973

Authority

Description Issue Date Termination Date Status
CASUALTY 10/15/2005 Active
HEALTH 10/15/2005 Active
LIFE 10/15/2005 Active
PROPERTY 10/15/2005 Active
SURPLUS LINES 01/05/2012 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
5710279

Other Addresses

Address Type
10000 MIDLANTIC DR STE 105E
MOUNT LAUREL, NJ 08054-1504
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: 05/13/2025 03:13:56 PM