black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

123 INSURANCE INC., PAM PARAH-TOBIN AGENCY

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN492172
Status:
First Licensure:
08/17/2024
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
123 S MAIN ST
SAINT ALBANS, VT 05478-1819
Mailing:
123 S MAIN ST
SAINT ALBANS, VT 05478-1819
Phone:
+1 (802) 524-0202
Fax:
+1 (802) 524-3029
Email:
louise@123insurancevt.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 08/17/2024 04/01/2027

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
PATRIOT INSURANCE COMPANY
08/26/2024 PCD208274
UNION MUTUAL FIRE INSURANCE COMPANY
09/13/2024 PCF95
UNITED OHIO INSURANCE COMPANY
09/17/2024 PCF192494

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
LOUISE LEITEM
08/17/2024 PRN492169

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
LOUISE LEITEM PRN492169

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
20269637

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 09:24:34 PM