black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

RISK SPECIALISTS COMPANIES INSURANCE AGENCY INC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN54325
Status:
First Licensure:
03/19/1998
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
99 HIGH ST
BOSTON, MA 02110-2320
Mailing:
30 HUDSON ST
JERSEY CITY, NJ 07302-4804
Phone:
+1 (212) 770-7000
Fax:
+1 (866) 503-3210
Email:
surpluslines.employeelicensing@aig.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 03/19/1998 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
AIG PROPERTY CASUALTY COMPANY
01/10/2010 PCF393
AMERICAN HOME ASSURANCE COMPANY
04/22/2013 PCF367
COMMERCE AND INDUSTRY INSURANCE COMPANY
01/10/2010 PCF413
GRANITE STATE INSURANCE COMPANY
01/10/2010 PCF452
ILLINOIS NATIONAL INSURANCE COMPANY
01/10/2010 PCF53254
INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA
08/28/2009 PCF482
NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH PA
08/28/2009 PCF527
NEW HAMPSHIRE INSURANCE COMPANY
01/10/2010 PCF531
WESTERN SURETY COMPANY
02/06/2010 PCF96

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
ADRIANNA RHIANNE ALLMAN
10/16/2024 PRN498524
JUSTIN DANIEL BAILEY
12/06/2022 PRN438662
MICHELLE BELLOMO
03/02/2024 PRN477900
LYNDSEY MARIE BRANTLEY
05/14/2022 PRN418551
ANGELA CENTRELLA
06/28/2024 PRN487807
CHRISTINA MARIE COTTA
07/27/2024 PRN490162
KIMBERLEY DAVIDSON
01/10/2024 PRN473705
MICHAEL JAMES DELANEY
01/26/2024 PRN474898
MICHAEL EDWARDS
04/07/2020 PRN126009
TAYLOR M. ELROD
11/22/2022 PRN332619
CRAIG GOLDMAN
01/21/2023 PRN442144
MILLIANNA ROSE HOFMANN
12/02/2022 PRN299230
EFREN HURTADO
09/05/2024 PRN165857
YAJAIRA LARA
01/17/2025 PRN505826
KONIL LEE
09/20/2022 PRN430843
JANE KUKLEVSKY LINDO
06/22/2023 PRN454956
ETHAN S. MANDEL
12/21/2023 PRN384534
CLARE MCCARRICK
02/07/2023 PRN443278
MARK CHRISTOPHER MCCONICO
01/21/2023 PRN442146
CHRISTOPHER MCKENNA
01/03/2025 PRN504752
ROBIN MOODY
06/29/2024 PRN487938
DANIEL SCOTT MORRIS
12/17/2022 PRN439813
BRIAN QUARANDO
11/09/2022 PRN436615
HEATHER ANN REYNOLDS
11/15/2023 PRN469750
PAUL SANTOS
02/22/2024 PRN477001
DAVID SCHAED
07/12/2024 PRN488778
JENNIFER SEIFERT
11/15/2018 PRN321478
BRANDON TYLER
02/05/2025 PRN507224
GARRETT WESTON
09/17/2024 PRN495463
MOLLY WIGGIN
05/31/2023 PRN452994

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
JENNIFER SEIFERT PRN321478

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
3687951

Other Phone Numbers

Phone Number Type
+1 (212) 770-7000 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: 05/16/2025 07:26:56 AM