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DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

EXCELSIOR INSURANCE COMPANY

One or more of the licenses listed below were subject to license/disciplinary action. Details regarding each action can be found below under the affected license.

INSURANCE COMPANY

License Number:
PCF46786
Status:
First Licensure:
08/21/1996
Cancel Date:
None
Renewal Date:
08/10/2025
NAIC Code:
11045

Street Location:
175 BERKELEY ST
BOSTON, MA 02116-5066
Mailing:
175 BERKELEY ST
BOSTON, MA 02116-5066
Phone:
+1 (617) 357-9500
Email:
statutory.compliance@libertymutual.com

History

License Type Start Date End Date
INSURANCE COMPANY 08/21/1996 08/10/2025

Employee

Name Issue Date License Number Expiration Date Cancel Date
MINICO INS AGENCY LLC
04/24/2012 AGN177959
CASEY WATKINS
06/07/2021 PRN319121

Supervised Entity

None.

Authority

Description Issue Date Termination Date Status
FIRE 08/21/1996 Active
ALLIED LINES 08/21/1996 Active
HOMEOWNERS MULTIPLE PERIL 08/21/1996 Active
COMMERCIAL MULTIPLE PERIL 08/21/1996 Active
INLAND MARINE 08/21/1996 Active
EARTHQUAKE 08/21/1996 Active
WORKERS COMPENSATION 08/21/1996 Active
OTHER LIABILITY 08/21/1996 Active
PRODUCTS LIABILITY 08/25/2004 Active
AUTO LIABILITY 08/21/1996 Active
AUTO PHYS DAMAGE 08/21/1996 Active
FIDELITY 09/07/2004 Active
SURETY 09/07/2004 Active
GLASS 08/21/1996 Active
BURGLARY AND THEFT 08/21/1996 Active
BOILER AND MACHINERY 08/21/1996 Active
PROPERTY AND CASUALTY 08/21/1996 08/21/1996 Terminated

Contacts

Type Contact
PRODUCER LICENSING CONTACT AMY FISHER
AMY FISHER
LIBERTY AND COMPLIANCE SERVICES
100 LIBERTY WAY
DOVER, NH 03820-4597
Phone: +1 (603) 749-2600
Email: doverlicensing@libertymutual.com
WORKERS COMPENSATION CLAIMS TARA KASPER
EXCELSIOR INSURANCE COMPANY
PO BOX 4836
SYRACUSE, NY 13221-4836
Phone: +1 (973) 548-6922
Email: tara.kasper@libertymutual.com
SERVICE OF PROCESS CORPORATION SERVICE COMPANY
45 MEMORIAL CIR
AUGUSTA, ME 04330-6400
Phone: +1 (800) 927-9800
Fax: +1 (302) 636-5454
Email: sop@cscglobal.com

License/Disciplinary Action

Case Action Taken Date
RIRS-1713 Consent Order 10/12/2012

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
11045

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: 05/13/2025 06:04:44 PM