black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

SCOTTSDALE INDEMNITY COMPANY

INSURANCE COMPANY

License Number:
PCF61167
Status:
First Licensure:
03/08/1999
Cancel Date:
None
Renewal Date:
08/10/2025
NAIC Code:
15580

Street Location:
18700 N HAYDEN RD
SCOTTSDALE, AZ 85255-6741
Mailing:
1 W NATIONWIDE BLVD # 1-14-301
COLUMBUS, OH 43215-2752
Phone:
+1 (614) 249-1545
Email:
finrpt@nationwide.com

History

License Type Start Date End Date
INSURANCE COMPANY 03/08/1999 08/10/2025

Employee

Name Issue Date License Number Expiration Date Cancel Date
ACRISURE LLC
04/24/2024 AGN160630
AMWINS NATIONAL TRANSPORTATION UNDERWRITERS INC
11/14/2008 AGN147607
ASSUREDPARTNERS NL LLC
02/05/2018 AGN193825
WOODROW M. BAIRD
07/21/2015 PRN48846
DANIEL I. BECK
04/30/2020 PRN208651
MARK A. BECK
12/22/2010 PRN27886
CHRISTINA L. BELTZ
10/02/2014 PRN235566
MICHAEL J. BIGGER
12/04/2009 PRN154235
LINDA SHARON BLECHMAN-BUSCH
10/23/2007 PRN94606
NICHOLAS LIVIO BOZZO
03/17/2010 PRN174003
BETH A. BREWER
05/21/2009 PRN165727
MEGAN CARROLL
09/06/2017 PRN289000
LISA LOUISE COOPER
06/21/2016 PRN151515
CROUSE AND ASSOC INS SERVICES OF NORTHERN CALIFORNIA INC
02/11/2019 AGN234132
ELOISA CRUZ CUMMINGS
07/02/2007 PRN78386
KATHERINE DALEY
05/04/2021 PRN295697
NICHOLAS ANTHONY DAVEY
11/17/2011 PRN196395
CARLA ELAINE DAVIS
07/17/2007 PRN136068
JOHN MICHAEL DIMUCCI
07/02/2007 PRN132105
DONA MARIE DINIUS
07/16/2007 PRN77390
E RISK SERVICES LLC
11/18/2009 AGN168476
ANDREW M. EASTON
12/15/2021 PRN243301
WILLIAM THOMAS EVANS
11/01/2024 PRN287102
FINANCIAL & PROFESSIONAL RISK SOLUTIONS INC
03/23/2001 AGN37449
FIRST LIGHT PROGRAM MGR INC
10/19/2022 AGN165581
KIMBERLY SUE FRITZ
08/27/2014 PRN236021
JACOB GEYER
01/19/2023 PRN436011
GLOBAL SPECIAL RISKS LLC
02/05/2020 AGN335120
A BRYAN GLOTZBACH
03/23/2010 PRN172708
LISA SUE GOELZ
06/23/2017 PRN125608
MICHAEL GRAMM
12/01/2022 PRN351365
PHILIP STEPHEN HAGAN II
12/28/2011 PRN113345
KERRI ANN HAMILTON
07/10/2007 PRN47282
WILLIAM RANDALL HAMPTON
04/30/2020 PRN81671
SEAN P. HARRIGAN
01/22/2004 PRN59358
PHILIP AUGUST HARTMAN
07/02/2007 PRN56340
JENNIFER M. HUDSON
04/24/2009 PRN96594
IDELIC INSURANCE AGENCY, LLC
12/01/2022 AGN433310
INNOVATION GROWTH PARTNERS SPECIALTY, LLC
10/25/2005 AGN40720
ANTHONY L. JOHNSON
10/19/2022 PRN152662
MATTHEW JONES
04/29/2009 PRN163933
K&K INSURANCE GROUP INC
06/22/2007 AGN17002
NICHOLE RENEE KARST
07/10/2007 PRN102549
HOLLIE J. LAMLE
08/19/2010 PRN179561
LEE & MASON FINANCIAL SERVICES INC
10/23/2007 AGN47168
STEPHANIE ELAINE LEE
08/21/2024 PRN326371
SCOTT EDWARD LUNSFORD
07/17/2007 PRN48548
MAXIMUM INDEPENDENT BROKERAGE LLC
02/11/2019 AGN101625
THOMAS B. MCGOWAN IV
01/30/2025 PRN128298
WILLIAM T. MCKERNAN
01/31/2025 PRN184425
JOSEPH MESSINA
02/13/2019 PRN91577
METHOD INSURANCE SERVICES, LLC
11/30/2023 AGN353890
CHERYL LYNN MEYERS
05/19/2009 PRN40319
MARIA JEANETTE MILLER
05/25/2011 PRN189724
DAVIS DONALD MOORE
11/29/2023 PRN76867
DANIEL ALAN MYER
06/11/2008 PRN152464
NBS INSURANCE AGENCY INC
04/04/2019 AGN49849
RONALD LEE NORTON
04/22/2009 PRN39901
NSM INSURANCE SERVICES LLC
01/31/2025 AGN99665
ERIC PADAGS
06/12/2008 PRN152751
PDP GROUP INC
01/22/2004 AGN33871
PEACHTREE SPECIAL RISK BROKERS LLC
08/09/2018 AGN107296
MORGAN MARIE PERRIN
05/11/2017 PRN266196
CHERYL LYNETTE PETTIBONE
07/10/2007 PRN54600
PIONEER SPECIAL RISK INSURANCE SERVICES INC
09/14/2020 AGN167148
BARBARA RENTSCHLER
07/03/2007 PRN138688
JOSEPH GORDON REPASS
08/14/2007 PRN39022
ANGELA MARIE RHOADES
10/15/2013 PRN96112
EDMUND RICHMOND
04/24/2024 PRN446107
GREGORY SCOTT RICHMOND
04/24/2024 PRN180189
RISK PLACEMENT SERVICES INC
09/03/2009 AGN62458
MELISSA LINN ROSS
04/22/2009 PRN77367
RSG SPECIALTY LLC
11/05/2024 AGN176560
PATRICK SHEFFIELD SMALL
07/24/2024 PRN49704
STERLING & STERLING LLC
04/25/2013 AGN37483
DAVID A. STERLING
04/29/2013 PRN22990
DANIEL ALBERT TAGUE
06/03/2021 PRN371724
PAUL M. TOMASI
04/17/2009 PRN136460
ROBIN MARIE TOURNEY
07/16/2007 PRN117820
TRIDENT INSURANCE SERVICES LLC
09/16/2020 AGN116075
TIMOTHY WILLIAM TURNER
05/24/2023 PRN66875
STEPHANIE JO WALDRON
06/29/2010 PRN61011
PAMELA SUE WALKER
08/01/2007 PRN102548
SHERRY E. WASHINGTON
08/02/2007 PRN113182
JOHN THOMAS WELTY
11/14/2024 PRN375575
WRIGHT SPECIALTY INSURANCE AGENCY LLC
05/01/2017 AGN157760
CHRISTIAN ZWINGEL
11/11/2024 PRN473160

Supervised Entity

None.

Authority

Description Issue Date Termination Date Status
FIRE 03/08/1999 Active
ALLIED LINES 03/08/1999 Active
COMMERCIAL MULTIPLE PERIL 03/08/1999 Active
INLAND MARINE 03/08/1999 Active
EARTHQUAKE 03/08/1999 Active
WORKERS COMPENSATION 09/13/2022 Active
OTHER LIABILITY 03/08/1999 Active
AUTO LIABILITY 03/08/1999 Active
AUTO PHYS DAMAGE 03/08/1999 Active
FIDELITY 03/08/1999 Active
BURGLARY AND THEFT 03/08/1999 Active
FEDERAL FLOOD INSURANCE 03/08/1999 Active

Contacts

Type Contact
WORKERS COMPENSATION CLAIMS JASON TRYBULSKI
PO BOX 182079
COLUMBUS, OH 43218-2079
Phone: +1 (614) 450-0666
Email: trybuj1@nationwide.com
PRODUCER LICENSING CONTACT DONNA STEWART
DONNA STEWART
01-24-104
1 NATIONWIDE PLZ
COLUMBUS, OH 43215-2226
Phone: +1 (614) 677-4991
Email: billrnwl@nationwide.com
SERVICE OF PROCESS CORPORATION SERVICE COMPANY
45 MEMORIAL CIR
AUGUSTA, ME 04330-6400
Phone: +1 (800) 927-9800
Fax: +1 (302) 636-5454
Email: sop@cscglobal.com

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN)

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: 05/14/2025 09:27:30 AM