black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

LIBERTY INSURANCE UNDERWRITERS INC

INSURANCE COMPANY

License Number:
PCF175807
Status:
First Licensure:
03/16/2010
Cancel Date:
None
Renewal Date:
08/10/2025
NAIC Code:
19917

Street Location:
DAVID A COHEN
175 BERKELEY ST
BOSTON, MA 02116-5066
Mailing:
DAVID A COHEN
175 BERKELEY ST
BOSTON, MA 02116-5066
Phone:
+1 (617) 357-9500

History

License Type Start Date End Date
INSURANCE COMPANY 03/16/2010 08/10/2025

Employee

Name Issue Date License Number Expiration Date Cancel Date
GAIL ACORD
11/16/2016 PRN249910
BEVERLY ADKINS
10/23/2018 PRN284459
ADROIT HEALTH GROUP LLC
11/12/2020 AGN270117
AFFINITY INSURANCE SERVICES INC
03/03/2011 AGN50950
DAVID ALBRIGHT
10/26/2020 PRN335034
ALLEGIANT GLOBAL PARTNERS INC
08/06/2020 AGN287003
YADIRA ALVAREZ CARTER
12/14/2020 PRN317604
JENNIFER ALVAREZ CASAS
03/01/2017 PRN281488
AMERICAN BENEFITS & COMPENSATION SYSTEMS INC
08/06/2021 AGN88734
ASSOCIATION MEMBER BENEFITS ADVISORS, LLC
04/27/2022 AGN326323
ASURION INSURANCE SERVICES INC
08/05/2014 AGN35488
AVIBRA INSURANCE SERVICES LLC
08/17/2020 AGN349556
JEANNIE BARNES
08/11/2017 PRN157330
KATRINA BEDFORD
10/26/2012 PRN198956
MATTHEW BENDICKSON
10/19/2016 PRN207996
BIZINSURE LLC
09/16/2014 AGN202177
TRENTON JOSEPH BLACK
07/25/2012 PRN188517
LINDA SHARON BLECHMAN-BUSCH
03/02/2011 PRN94606
JENNIFER MARIE BOISJOLY
11/18/2013 PRN221003
DAVID WILLIS BONDESON
07/04/2024 PRN478371
KRISTINA BRIMM
10/05/2018 PRN291209
CHERIE BROWN
03/15/2023 PRN232711
DOUGLAS Z. BURGER
03/06/2020 PRN56219
KATHLEEN BURNS
03/02/2011 PRN60156
TABATHA BURRELL
02/03/2021 PRN335220
BUSINESS RISK PARTNERS LLC
03/02/2011 AGN95823
KENIA CABRERA
01/31/2012 PRN186053
JENNIFER B. CAIZZA
07/15/2019 PRN160693
CAMICO INSURANCE SERVICES
03/02/2011 AGN68506
MELISSA R. CANESTRO
07/01/2024 PRN177401
JOY CHANCHAMPA
02/07/2013 PRN171070
TODD DONALD CHRETIEN
02/07/2013 PRN165030
WILLIAM EARL CLEVELAND
06/20/2017 PRN288317
JANET D. COLLINS
08/01/2017 PRN290211
COMPANION PROTECT AGENCY LLC -000
10/19/2020 AGN326410
JEREMY SHANE CONREY
09/13/2019 PRN337357
CONTEMPORARY INSURANCE SERVICES INC
09/17/2019 AGN110304
CATHERINE COOK
08/01/2023 PRN252103
CHRISTOPHER D. COPELAND
10/21/2020 PRN339324
HANNAH TRUTH CORNELL
02/09/2024 PRN474184
CLAUDIA LIZETH CORRAL VAZQUEZ
10/04/2018 PRN307193
THOMAS COSTEN
03/19/2025 PRN392985
CICELY C. COX
06/23/2022 PRN364514
CLINTON JAMES COX
08/11/2022 PRN386973
ANNE M. CRAIG
06/20/2017 PRN288320
VANESSIA CHERELLE MURPHY CREESE
11/17/2022 PRN418292
MELISSA LYN CULPEPPER
02/24/2014 PRN225617
MICHAEL CURLEE
10/05/2020 PRN320887
CHANEE DENISE DAVIS
08/09/2022 PRN407932
LATOYA D. DAVIS
09/02/2022 PRN367386
SARAH ELIZABETH DAY
09/29/2022 PRN353111
EDWARD FLOTILDE DELMUNDO
08/01/2017 PRN290212
LESLIE DEVRIES
02/12/2018 PRN298772
DARIN DIAMOND
02/07/2013 PRN194901
DISTINGUISHED PROGRAMS INSURANCE BROKERAGE LLC
03/05/2018 AGN72452
AMBER MARIE DIXON
05/06/2019 PRN185854
LISA A. DOHERTY
03/02/2011 PRN93924
WILLIAM DAVIS DYER
09/18/2024 PRN57183
JACK H. ELLIOTT
05/27/2021 PRN214572
RICHARD ELSNER
03/31/2022 PRN389184
JOHN KENNETH EUSTON
03/14/2023 PRN418323
JOHN FALKUM
12/01/2022 PRN427174
SHAYNE STEVEN FENIMORE
11/16/2022 PRN340564
SHAYLA SHEKURA FERRELL
10/23/2012 PRN196865
GEORGE PATRICK FORD
09/28/2020 PRN351110
FORREST T JONES & COMPANY INC
10/30/2015 AGN19293
EBONY SHARI GAINES
06/16/2022 PRN251863
JOSHUA DAVID GAMINDE
11/11/2022 PRN384181
STACEY GIBSON
06/23/2022 PRN412538
ERIC SHELDON GIFFORD
03/02/2011 PRN142628
NORA CAMERON GILMORE
06/04/2021 PRN380209
GMI NA INC
03/02/2011 AGN49788
DIJANTE GOOSBY
04/14/2025 PRN512761
JENNIFER A. GOYNE
02/27/2017 PRN166105
TRACY MICHELLE GRAVELY
04/01/2016 PRN261393
TOSHA R. GREENWAY
06/07/2016 PRN265560
GROUP PLAN ADMINISTRATORS INC
11/04/2021 AGN157266
AIME R. GRUENES
06/20/2019 PRN141111
JOSEPH GUERRERO
03/02/2011 PRN49470
LACREACIA MICHELLE HALL
06/26/2014 PRN232950
KRYSTAL HALSTED
02/12/2025 PRN232291
JOSHUA WILLIAM HAMLIN
10/22/2012 PRN200029
PATRICK EDMUND HANLEY
10/09/2023 PRN345408
SCOTT ANTHONY HARDGREE
02/03/2021 PRN91770
LINDSAY D. HARRIS
07/13/2017 PRN287736
HARRIS HAUPTMAN
05/15/2014 PRN66725
HEALTH PLAN INTERMEDIARIES HOLDINGS LLC
08/01/2020 AGN205501
BEE HER
09/24/2014 PRN118588
HANNAH MARIE HOLBERT
11/04/2022 PRN433932
TAMMY HOLLEY
03/15/2023 PRN284104
EDWARD ADAM HUGENER
07/13/2017 PRN289339
MATTHEW DANIEL HUSKEY
02/11/2021 PRN337618
CASEY LEE HUTSELL
07/13/2017 PRN289498
IRONSHORE INS SERVICES LLC
10/24/2017 AGN145235
LESLEY RENEE JOHNSON
06/15/2017 PRN144492
RICHARD F. JONES JR
10/30/2015 PRN129746
TANYA SUE JOYNER
10/29/2016 PRN271011
JULIE KABRICH
10/19/2016 PRN212989
DEBRA J. KERR
02/07/2013 PRN192963
JOHN CLAYBORNE KERSEY JR
02/07/2013 PRN167960
VICTORIA LYNN KLEIN
02/07/2013 PRN171278
SHEREEN NICOLE KLEVENS
08/29/2024 PRN407760
LINDA RENEE KONSTABEL
02/07/2013 PRN108906
BRANDON A. KUHN
10/23/2018 PRN264394
CHARLES ALAN LAUE
06/19/2015 PRN70039
KELLY C. LAW
08/23/2023 PRN321796
DANIEL WAYNE LEDFORD
10/12/2020 PRN324153
VALERIE MACHELLE LEE
11/14/2012 PRN196894
JONA ANN LEUCHTENBERG
01/27/2017 PRN281361
LISA LEWELLEN
03/06/2018 PRN299039
LIA INSURANCE ADMINISTRATORS INC
03/01/2011 AGN56155
ALEKSANDRA LITTLE
09/07/2018 PRN311363
LOCKTON COMPANIES LLC
12/12/2011 AGN123337
RONALD JONES LOCKTON
11/23/2011 PRN70002
ANDREW RYAN LOGAN
06/01/2018 PRN310011
TIMOTHY MICHAEL LOONEY
10/12/2020 PRN355179
DEREK EUGENE LYONS
03/24/2015 PRN245881
KENNETH JAMES MACKUNIS
02/26/2014 PRN45994
SHAWN MALONE
02/03/2021 PRN347761
EDITH MARIN
10/21/2020 PRN335055
MARSH USA LLC
09/16/2020 AGN37019
KATHRYN SUZANNE MARSHALL
03/02/2011 PRN89832
CASEY JOHN MASTERS
11/17/2020 PRN320477
HENRY WOODROW MATHIS
11/10/2020 PRN322548
NJERI SIMONE MCALLISTER
09/30/2022 PRN418655
PATRICE ANTOINETTE MCCLAIN
02/07/2013 PRN170748
MARSHA KAYE MCFARLAND
11/06/2014 PRN238430
WILLIAM B. MCKECHNIE
03/02/2011 PRR40160
ABIGAIL RENEE MELENDEZ
11/23/2022 PRN196605
MERCER HEALTH & BENEFITS ADMINISTRATION LLC
03/18/2014 AGN189659
MICHAEL MILLER
10/19/2016 PRN212775
STEPHEN MICHAEL MILLER
05/02/2022 PRN236899
DAVID EMORY MOORE
03/14/2018 PRN302769
MAURNICE LASHEA MOORE
08/08/2017 PRN289943
RHONDA S. MORALES
04/14/2011 PRN161880
JOSHUA TAYLOR MOTLEY
06/23/2022 PRN412189
ERIC WILLIAM MUELLER
02/07/2013 PRN166589
MICHAEL G. O'CONNOR
03/01/2011 PRN60159
RACHEL JOY PAINTER
03/01/2011 PRN98367
LILLIAN PATRICK
02/27/2014 PRN226941
MARTIN PEREZ
05/07/2014 PRN230237
MICHELLE LEA PETRULIS
10/23/2018 PRN262261
PAULA POPE
02/23/2022 PRN211980
MICHELLE ALICIA PRATHER
12/01/2022 PRN428410
DIANA QUINTANILLA
02/07/2013 PRN171085
DEBORAH DENISE RAY WRIGHT
08/29/2022 PRN417857
ROBIN RAY
10/09/2012 PRN204901
SHEILA REDNOUR
02/07/2013 PRN171560
MIKAYLA LEIGH REED
02/09/2024 PRN474439
ANGELICA REYES
07/12/2023 PRN316884
SOPHIE MARYSIA RODRIGUEZ
10/25/2021 PRN389670
MICHAEL J. ROOPNARINE
02/26/2019 PRN324454
KRISTEN RUNION
08/08/2022 PRN417197
DAVID ARTHUR SAAMS
11/15/2021 PRN364175
RODNEY LEN SCHLOSSER
06/21/2022 PRN108903
KENNETH R. SCHREIBER
06/03/2019 PRN283562
GARY SHAPIRO
02/20/2019 PRN308527
BRANDON SHERMAN
09/10/2012 PRN191167
JEFFREY J. SHORES
02/09/2015 PRN185597
SHERRY LOU SLONE
06/21/2021 PRN377454
RICHARD THOMAS SNIZEK
06/23/2022 PRN408602
ORLANDO SOTO
03/01/2011 PRN61731
COURTNEE RAE STEVENSON
07/09/2024 PRN281228
MACKENZIE JANISE STIER
11/16/2016 PRN253063
SCOTT STRAYER
02/12/2021 PRN322501
MANUEL A. SUPER
06/20/2012 PRN196585
DAVID JAMSHID TAVAKOLI
11/28/2017 PRN298530
ISRAEL TEITELBAUM
08/27/2019 PRN56665
TIMOTHY THOLEN
09/28/2018 PRN312760
MICHAEL ANDREW TIMPONE
08/15/2022 PRN313761
SALVADOR ANGELO TODARO JR
06/01/2018 PRN308025
NOELLE EILEEN TRANSUE
02/07/2013 PRN196956
OZUMY TREVIZO
11/12/2012 PRN196691
MARK N. TRUDEL
03/01/2011 PRN49787
AGBAI KALU UDE
05/03/2017 PRN211437
MATTHEW SHAWN ULLMAN
06/02/2023 PRN413685
ANNA LYDIA VALDEZ
10/26/2016 PRN274000
TAJHIA ANN VANDERKOOI
06/04/2020 PRN344505
EMILY ELIZABETH VANGEL
11/17/2020 PRN342795
ROXANA VASQUEZ
08/19/2022 PRN309837
VILAGE & CO LLC
11/30/2017 AGN286364
JACOB WALCOTT
04/17/2018 PRN304514
MEREDITH RAE WALKER
06/18/2020 PRN340165
PATRICK DOUGLAS WAMHOFF
12/03/2018 PRN205728
AHMAD R. WATKINS
02/03/2021 PRN335279
SHIRLEY JOSEPHINE WATSON
05/09/2019 PRN329717
NATHALIE ANNE WATTS
02/07/2013 PRN178761
JOY NICOLE WEAVER
02/01/2019 PRN116045
STACY WENDELL WEBB
02/07/2013 PRN143620
FRANK PATTERSON WEBBER
10/31/2014 PRN237422
CARMELA WELU
10/19/2016 PRN229732
GREGORY WHITAKER
04/15/2013 PRN172840
VICTORIA NICOLE WHITE
04/03/2013 PRN205658
JIMMY RANDALL WHITFIELD
08/05/2019 PRN174795
ANDREW H. WILBURN
02/07/2013 PRN171109
ROBERT CHAVEZ WILEY
03/01/2011 PRN35528
JENNA MARIE WILK
04/17/2023 PRN445841
BRIAN WILLIAMS
03/18/2025 PRN455096
JULIE M. WILLIAMS
02/07/2013 PRN194695
TREVOR J. WILLIAMS
09/13/2012 PRN199181
ALICIA N. WILSON
01/30/2017 PRN274385
JOHN CAVIN WITHERSPOON
03/01/2011 PRN157633
PETER J. WORTH
01/25/2023 PRN168671
MICHAEL WAYNE WRIGHT
01/23/2015 PRN118086

Supervised Entity

None.

Authority

Description Issue Date Termination Date Status
HEALTH 01/11/2013 Active
COMMERCIAL MULTIPLE PERIL 03/16/2010 Active
OCEAN MARINE 03/16/2010 Active
INLAND MARINE 03/16/2010 Active
MEDICAL MALPRACTICE 03/16/2010 Active
OTHER LIABILITY 03/16/2010 Active
PRODUCTS LIABILITY 03/16/2010 Active
AUTO LIABILITY 03/16/2010 Active
AUTO PHYS DAMAGE 03/16/2010 Active
BURGLARY AND THEFT 03/16/2010 Active

Contacts

Type Contact
PRODUCER LICENSING CONTACT KELLY ROBIDAS
PO BOX 1525
DOVER, NH 03821-1525
Phone: +1 (603) 749-2600 x33131
Email: licensingcomplianceservices@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

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN)

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: 05/18/2025 06:12:38 AM