black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

MARK NEIL GROSSMAN

PRODUCER NON-RESIDENT

License Number:
PRN109677
Status:
First Licensure:
12/20/2004
Cancel Date:
None

Mailing:
RICHMOND, VA 23220
Phone:
+1 (804) 381-4908
Fax:
+1 (866) 352-1401
Email:
lisa@monumentsports.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 12/20/2004

Agency

Name Issue Date License Number Expiration Date Cancel Date
MARK OF RICHMOND INC
09/23/2011 AGN194588

Employer

Name Issue Date License Number Expiration Date Cancel Date
ALLMERICA FINANCIAL ALLIANCE INSURANCE COMPANY
04/15/2016 PCF75617
ALLMERICA FINANCIAL BENEFIT INSURANCE COMPANY
04/15/2016 PCF145893
CITIZENS INSURANCE COMPANY OF AMERICA
04/15/2016 PCF937
THE HANOVER AMERICAN INSURANCE COMPANY
04/15/2016 PCF197298
THE HANOVER INSURANCE COMPANY
04/15/2016 PCF712
MASSACHUSETTS BAY INSURANCE COMPANY
04/15/2016 PCF505
NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH PA
01/11/2013 PCF527
PHILADELPHIA INDEMNITY INSURANCE COMPANY
07/13/2024 PCF46041

Authority

Description Issue Date Termination Date Status
CASUALTY 12/20/2004 Active
HEALTH 07/15/2011 Active
LIFE 07/15/2011 Active
PROPERTY 12/20/2004 Active

Responsible For

Name License Number
MARK OF RICHMOND INC AGN194588

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
137243

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 08:00:43 PM