black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

MICHAEL RICHARD PALOTAY

PRODUCER NON-RESIDENT

License Number:
PRN405059
Status:
First Licensure:
12/03/2021
Cancel Date:
None

Mailing:
ENCINO, CA 91436
Phone:
+1 (818) 382-2030
Fax:
+1 (818) 382-2040
Email:
cpl.licensing@tmhcc.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 12/03/2021

Agency

Name Issue Date License Number Expiration Date Cancel Date
NAS INSURANCE SERVICES LLC
12/03/2021 AGN169800
PROFESSIONAL INDEMNITY AGENCY INC
08/16/2022 AGN41446

Employer

Name Issue Date License Number Expiration Date Cancel Date
US SPECIALTY INSURANCE COMPANY
11/08/2024 PCF31516

Authority

Description Issue Date Termination Date Status
CASUALTY 12/03/2021 Active
PROPERTY 12/03/2021 Active
SURPLUS LINES 01/18/2022 Active

Responsible For

Name License Number
NAS INSURANCE SERVICES LLC AGN169800

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
16306083

Other Addresses

Address Type
ENCINO, CA 91436
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: 06/28/2025 04:27:52 AM