black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

NAS INSURANCE SERVICES LLC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN169800
Status:
First Licensure:
09/12/2009
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
16501 VENTURA BLVD STE 200
ENCINO, CA 91436-2066
Mailing:
16501 VENTURA BLVD STE 200
ENCINO, CA 91436-2066
Phone:
+1 (818) 382-2030
Fax:
+1 (818) 382-2040
Email:
cpl.licensing@tmhcc.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 09/12/2009 04/01/2027

Alias, DBA or Trade Name

Name
TOKIO MARINE HCC-CYBER & PROFESSIONAL LINES GROUP

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN CONTRACTORS INDEMNITY COMPANY
12/04/2019 PCF81110
AXIS INSURANCE COMPANY
10/01/2012 PCF134278
UNITED STATES SURETY COMPANY
12/04/2019 PCF115462
US SPECIALTY INSURANCE COMPANY
12/04/2019 PCF31516

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
DAVID MARSHALL LLOYD
04/23/2013 PRN215714
MICHAEL RICHARD PALOTAY
12/03/2021 PRN405059

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
MICHAEL RICHARD PALOTAY PRN405059

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
2111269

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: 06/26/2025 05:59:40 AM