black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JENNIFER L. FREDERICK

PRODUCER RESIDENT

License Number:
PRR55215
Status:
First Licensure:
05/19/1998
Cancel Date:
None
Renewal Date:
03/31/2026

Continuing Education:
Required by 03/31/2026
Hours Required:
Ethics:
3
Total Required:
24
Hours Acquired:
Ethics:
0
Total Acquired:
0

Mailing:
SKOWHEGAN, ME 04976
Phone:
+1 (207) 474-8400
Email:
jenf@gwi.net

History

License Type Start Date End Date
PRODUCER RESIDENT 05/19/1998 03/31/2026

Agency

Name Issue Date License Number Expiration Date Cancel Date
WILLIAM E CLARK AGENCY
05/19/1998 AGR33510 04/04/2001
WILLIAM E CLARK INSURANCE
06/19/1998 AGR56167 11/06/1998
WILLIAM E CLARK INSURANCE AGENCY INC
04/04/2001 AGR77448

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN ECONOMY INSURANCE COMPANY
07/13/2021 PCF363
AMERICAN MODERN HOME INSURANCE COMPANY
07/29/2014 PCF808 10/28/2021
AMERICAN MODERN SELECT INSURANCE COMPANY
07/29/2014 PCF123448 10/28/2021
BRISTOL WEST INSURANCE COMPANY
10/09/2012 PCF78370
CITIZENS INSURANCE COMPANY OF AMERICA
10/28/2005 PCF937 06/25/2012
CONCORD GENERAL MUTUAL INSURANCE COMPANY
09/19/2002 PCF416 06/11/2007
DAIRYLAND INSURANCE COMPANY
08/20/1999 PCF721
EMPLOYERS INSURANCE COMPANY OF WAUSAU
02/27/2017 PCF434
FARMERS INSURANCE EXCHANGE FARMERS GROUP INC
01/28/2005 IIF106 03/21/2012
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
03/24/2004 PCF445
THE HANOVER INSURANCE COMPANY
10/28/2005 PCF712 06/25/2012
HOMESITE INSURANCE COMPANY OF THE MIDWEST
09/22/2008 PCF116371 10/24/2011
INTEGON NATIONAL INSURANCE COMPANY
07/08/2015 PCF310
MASSACHUSETTS BAY INSURANCE COMPANY
10/28/2005 PCF505 06/25/2012
MIC GENERAL INSURANCE CORPORATION
11/13/2024 PCF66467
MOUNTAIN VALLEY INDEMNITY COMPANY
11/21/2007 PCF48487 02/11/2009
NETHERLANDS INSURANCE COMPANY
03/06/2014 PCF827 04/26/2024
NORTH EAST INSURANCE COMPANY
05/19/1998 PCF536 02/11/2009
PATRONS OXFORD INSURANCE COMPANY
09/30/2002 PCD7
PEERLESS INSURANCE COMPANY
03/06/2014 PCF548
PROGRESSIVE CASUALTY INSURANCE COMPANY
08/02/1999 PCF637
PROGRESSIVE NORTHERN INSURANCE COMPANY
08/02/1999 PCF51006
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
11/19/1999 PCF27738
SAFECO NATIONAL INSURANCE COMPANY
02/27/2017 PCF248658
SECURITY NATIONAL INSURANCE COMPANY
04/10/2019 PCF189490
SEQUOIA INSURANCE COMPANY
04/23/2020 PCF128467
TECHNOLOGY INSURANCE COMPANY INC
04/10/2019 PCF136874
TOWER INSURANCE COMPANY OF NEW YORK
11/21/2007 PCF120355 10/06/2014
TOWER NATIONAL INSURANCE COMPANY
11/21/2007 PCF923 02/11/2009
TRUCK INSURANCE EXCHANGE TRUCK UNDERWRITERS ASSOCIATION
06/07/2007 IIF107 10/19/2012
UNITED FINANCIAL CASUALTY COMPANY
12/12/2006 PCF61704 03/31/2012
UNIVERSAL UNDERWRITERS INSURANCE COMPANY
01/16/2002 PCF892 09/18/2003
WESCO INSURANCE COMPANY
04/10/2019 PCF49735

Authority

Description Issue Date Termination Date Status
CASUALTY 05/19/1998 Active
PROPERTY 05/19/1998 Active

Responsible For

Name License Number
WILLIAM E CLARK INSURANCE AGENCY INC AGR77448

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
3684641

CE Courses

None.

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: 05/15/2025 09:08:03 PM