black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JACQUELINE HELENE BENCIVENGA

PRODUCER NON-RESIDENT

License Number:
PRN328161
Status:
First Licensure:
03/21/2019
Cancel Date:
None

Mailing:
DENVILLE, NJ 07834
Phone:
+1 (800) 524-7024
Fax:
+1 (855) 241-3262
Email:
jacqui.bencivenga@adp.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 03/21/2019

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMTRUST INSURANCE COMPANY
09/20/2022 PCF260762
EMPLOYERS ASSURANCE COMPANY
06/06/2019 PCF285638
EMPLOYERS COMPENSATION INSURANCE COMPANY
06/06/2019 PCF285639
EMPLOYERS PREFERRED INSURANCE COMPANY
06/06/2019 PCF285637
SECURITY NATIONAL INSURANCE COMPANY
09/20/2022 PCF189490
SEQUOIA INSURANCE COMPANY
09/20/2022 PCF128467
TECHNOLOGY INSURANCE COMPANY INC
09/20/2022 PCF136874
WESCO INSURANCE COMPANY
09/20/2022 PCF49735

Authority

Description Issue Date Termination Date Status
CASUALTY 03/21/2019 Active
PROPERTY 03/21/2019 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
19024080

Other Addresses

Address Type
1 ADP BLVD
ROSELAND, NJ 07068-1728
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: 06/08/2025 11:41:16 AM