black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

ESPECIALTY INSURANCE SERVICES AGENCY, INC.

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN386531
Status:
First Licensure:
06/23/2021
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
6095 TRAILSIDE DR
PARK CITY, UT 84098-6179
Mailing:
PO BOX 980453
PARK CITY, UT 84098-0411
Phone:
+1 (435) 252-1077
Email:
rsargent@especialty.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 06/23/2021 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
EMPLOYERS ASSURANCE COMPANY
04/11/2024 PCF285638
EMPLOYERS COMPENSATION INSURANCE COMPANY
04/11/2024 PCF285639
EMPLOYERS PREFERRED INSURANCE COMPANY
04/11/2024 PCF285637

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
ROBERT TENNANT SARGENT
06/23/2021 PRN48391

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
ROBERT TENNANT SARGENT PRN48391

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
19888895

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: 10/11/2025 03:21:28 AM