black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

LOUISE LEITEM

PRODUCER NON-RESIDENT

License Number:
PRN492169
Status:
First Licensure:
08/17/2024
Cancel Date:
None

Mailing:
MILTON, VT 05468
Phone:
+1 (802) 524-0202
Fax:
+1 (802) 524-3029
Email:
louise@123insurancevt.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 08/17/2024

Agency

Name Issue Date License Number Expiration Date Cancel Date
123 INSURANCE INC., PAM PARAH-TOBIN AGENCY
08/17/2024 AGN492172

Employer

Name Issue Date License Number Expiration Date Cancel Date
CASCO INDEMNITY COMPANY
09/17/2024 PCF921
MAIN STREET AMERICA ASSURANCE COMPANY
09/23/2024 PCF997
MIDVALE INDEMNITY COMPANY
09/23/2024 PCF79410
MMG INSURANCE COMPANY
10/14/2024 PCD5
NGM INSURANCE COMPANY
09/23/2024 PCF86
UNION MUTUAL FIRE INSURANCE COMPANY
09/13/2024 PCF95
UNITED OHIO INSURANCE COMPANY
09/17/2024 PCF192494

Authority

Description Issue Date Termination Date Status
CASUALTY 08/17/2024 Active
PROPERTY 08/17/2024 Active

Responsible For

Name License Number
123 INSURANCE INC., PAM PARAH-TOBIN AGENCY AGN492172

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
19093873

Other Addresses

Address Type
123 S MAIN ST
SAINT ALBANS, VT 05478-1819
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: 05/14/2025 12:11:14 AM