black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

REGINA JASAK INDEPENDENT INS INC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN263361
Status:
First Licensure:
01/26/2016
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
79 WOODSIDE RD
LUDLOW, MA 01056-1443
Mailing:
79 WOODSIDE RD
LUDLOW, MA 01056-1443
Phone:
+1 (413) 315-5775
Fax:
+1 (855) 278-6332
Email:
regina@reginajasak.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 01/26/2016 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
ALLIED INSURANCE COMPANY OF AMERICA
03/18/2021 PCF216138 02/10/2022
ALLIED PROPERTY AND CASUALTY INSURANCE COMPANY
03/18/2021 PCF223935 02/10/2022
AMCO INSURANCE COMPANY
03/18/2021 PCF223938 02/10/2022
THE AUTOMOBILE INSURANCE COMPANY OF HARTFORD, CONNECTICUT
06/14/2018 PCF659 08/07/2019
CITIZENS INSURANCE COMPANY OF AMERICA
07/13/2020 PCF937
DEPOSITORS INSURANCE COMPANY
03/18/2021 PCF223940 02/10/2022
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
01/29/2016 PCF445
FOREMOST PROPERTY AND CASUALTY INSURANCE COMPANY
01/29/2016 PCF37337 02/01/2016
FOREMOST SIGNATURE INSURANCE COMPANY
01/29/2016 PCF176307 02/01/2016
THE HANOVER INSURANCE COMPANY
07/13/2020 PCF712
MAIN STREET AMERICA ASSURANCE COMPANY
02/26/2024 PCF997 07/23/2024
MAIN STREET AMERICA PROTECTION INSURANCE COMPANY
02/26/2024 PCF235440 07/23/2024
MASSACHUSETTS BAY INSURANCE COMPANY
07/13/2020 PCF505
MIDVALE INDEMNITY COMPANY
09/17/2020 PCF79410 07/23/2024
NATIONWIDE AGRIBUSINESS INSURANCE COMPANY
03/18/2021 PCF151937 02/10/2022
NATIONWIDE ASSURANCE COMPANY
03/18/2021 PCF38952 02/10/2022
NATIONWIDE GENERAL INSURANCE COMPANY
03/18/2021 PCF30 02/10/2022
NATIONWIDE INSURANCE COMPANY OF AMERICA
03/18/2021 PCF422 02/10/2022
NATIONWIDE MUTUAL FIRE INSURANCE COMPANY
03/18/2021 PCF31 02/10/2022
NATIONWIDE MUTUAL INSURANCE COMPANY
03/18/2021 PCF32 02/10/2022
NATIONWIDE PROPERTY & CASUALTY INSURANCE COMPANY
03/18/2021 PCF151089 02/10/2022
NGM INSURANCE COMPANY
02/26/2024 PCF86 07/23/2024
THE PHOENIX INSURANCE COMPANY
06/14/2018 PCF557 08/07/2019
PROGRESSIVE NORTHERN INSURANCE COMPANY
10/01/2021 PCF51006
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
10/01/2021 PCF27738
THE STANDARD FIRE INSURANCE COMPANY
06/14/2018 PCF584 08/07/2019
THE TRAVELERS HOME AND MARINE INSURANCE COMPANY
06/14/2018 PCF56556 08/07/2019
TRAVELERS PERSONAL INSURANCE COMPANY
10/01/2020 PCF201268

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
REGINA MARIE JASAK
01/26/2016 PRN185911

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
REGINA MARIE JASAK PRN185911

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
17826415

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: 11/26/2025 06:47:50 AM