black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

AFFILIATED FM INSURANCE COMPANY

INSURANCE COMPANY

License Number:
PCF349
Status:
First Licensure:
06/01/1950
Cancel Date:
None
Renewal Date:
08/10/2026
NAIC Code:
10014

Mailing:
PO BOX 7500
JOHNSTON, RI 02919-0750
Phone:
+1 (401) 275-3000
Email:
sherry.blomstedt@fm.com

History

License Type Start Date End Date
INSURANCE COMPANY 02/28/1990 08/10/2026

Employee

Name Issue Date License Number Expiration Date Cancel Date
ALLIANT INSURANCE SERVICES INC
07/22/2021 AGN91433
MICHAEL ANTHONY BAILLARGEON
04/11/2019 PRN328148
CYNTHIA BOISVERT
02/21/2025 PRN508117
ERIN KATHLEEN BORRADAILE
08/07/2018 PRN314017
WILLIAM DINSMORE BROWN
01/30/2023 PRN442744
ANGELA CONWAY
01/11/2023 PRN441256
CORPORATE INSURANCE SERVICES INC
11/10/2006 AGN132277
ALEJANDRO CORTES DE LA GARZA
11/16/2022 PRN425137
MICHAEL ELIAS
12/05/2022 PRN438526
ASHLEY J. FIRSCH
04/18/2023 PRN260641
DAVID M. GOLDSTEIN
11/13/2023 PRN355939
DAMUAL GREAVES
09/10/2024 PRN492960
WILLIAM HEIL
05/16/2022 PRN417668
MICHAEL G. KELLY
04/23/2024 PRN481172
JOHN JOSEPH LAWLESS IV
11/10/2006 PRN118451
CHRISTOPHER LONG
04/05/2023 PRN448165
JAMES V. MANNINO
11/11/2021 PRN63286
ERICA MARIE MARASCO
01/02/2024 PRN472997
GREGORY J. MELLOR
11/26/2013 PRN225747
CHRISTOPHER M. MOORE
07/06/2016 PRN270227
ANGELE L. MORCOS
07/12/2021 PRN386843
DIEGO MORDCOVICH BONNET
06/29/2015 PRN251797
SACHIN C. MUJAWAR
04/16/2021 PRN378684
STEPHANIE ANNE O ROURKE
02/02/2023 PRN442310
CHRISTOPHER F. OBYRNE
01/30/2019 PRN324955
OMNI UNDERWRITING MANAGERS LLC
01/09/2009 AGR68774
GLEN SCOTT REESE
02/17/2010 PRN157563
JASON RIES
08/27/2015 PRN254826
ANTONIO I. RUIZ VILLASMIL
12/20/2021 PRN406361
DENISE M. RYBECK
10/31/2008 PRR16987
KALYN BRADY SABINA
01/09/2023 PRN441151
REBECCA LYNN SEALS
07/26/2018 PRN312901
MATTHEW JOHN SHANAHAN
05/19/2021 PRN380332
AIMEE J. SIENKIEWICZ
02/09/2016 PRN263832
MELISSA CARYN SMITH
04/29/2020 PRN352197
DAVID KIYOSHI TANAKA
04/03/2020 PRN350693
WILLIS TOWERS WATSON NORTHEAST INC
10/19/2023 AGN74349
DEREK WOODWORTH
12/12/2022 PRN439043

Supervised Entity

None.

Authority

Description Issue Date Termination Date Status Additional Information
FIRE 03/01/1996 Active
ALLIED LINES 03/01/1996 Active
HOMEOWNERS MULTIPLE PERIL 03/01/1996 Active
COMMERCIAL MULTIPLE PERIL 03/01/1996 Active
OCEAN MARINE 03/01/1996 Active
INLAND MARINE 03/01/1996 Active
FIDELITY 03/01/1996 Active
SURETY 03/01/1996 Active
BURGLARY AND THEFT 03/01/1996 Active
BOILER AND MACHINERY 03/01/1996 Active
LIMITED TO HOME STATE 12/31/1992 03/01/1996 Terminated
Designated State

PROPERTY AND CASUALTY 01/01/1901 03/01/1996 Terminated

Contacts

Type Contact
PRODUCER LICENSING CONTACT SHERRY BLOMSTEDT
SHERRY BLOMSTEDT
270 CENTRAL AVENUE
PO BOX 7500
JOHNSTON, RI 02919-0750
Phone: +1 (401) 275-3000
Email: sherry.blomstedt@fm.com
SERVICE OF PROCESS CT CORPORATION SYSTEM
3 CHASE AVE
AUGUSTA, ME 04330-4525
Phone: +1 (855) 316-8944
Email: info@ctadvantage.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: 10/18/2025 03:27:34 AM