black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

DAVID RUSSELL GOODWIN

PRODUCER NON-RESIDENT

License Number:
PRN18102
Status:
First Licensure:
04/26/1985
Cancel Date:
None

Mailing:
BARRINGTON, NH 03825
Phone:
+1 (603) 335-4300
Fax:
+1 (603) 822-7101

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 06/01/1988

Agency

Name Issue Date License Number Expiration Date Cancel Date
IMMANUEL INSURANCE AGENCY INC
06/09/2000 AGN70351

Employer

Name Issue Date License Number Expiration Date Cancel Date
AETNA HEALTH INC
10/01/2001 HMD45749 08/29/2011
AETNA LIFE INSURANCE COMPANY
10/01/2001 LHF621 08/29/2011
AMERICAN FIRE AND CASUALTY COMPANY
06/20/2014 PCF200822
AMERICAN MODERN HOME INSURANCE COMPANY
08/08/2006 PCF808 10/28/2021
AMERICAN MODERN SELECT INSURANCE COMPANY
08/08/2006 PCF123448 04/25/2017
AMTRUST INSURANCE COMPANY
09/20/2022 PCF260762
ATLANTIC SPECIALTY INSURANCE COMPANY
05/19/2009 PCF104029 10/07/2010
ATLANTIC SPECIALTY INSURANCE COMPANY
10/20/2011 PCF104029 11/18/2013
THE AUTOMOBILE INSURANCE COMPANY OF HARTFORD, CONNECTICUT
03/23/2004 PCF659 12/05/2009
BANNER LIFE INSURANCE COMPANY
01/06/2021 LHF50047
BEDIVERE INSURANCE COMPANY
05/19/2009 PCF91 11/20/2010
BRISTOL WEST INSURANCE COMPANY
08/28/2003 PCF78370
CONCORD GENERAL MUTUAL INSURANCE COMPANY
07/25/2012 PCF416
EMPLOYERS FIRE INSURANCE COMPANY
02/26/2009 PCF41 06/21/2012
ENCOMPASS INSURANCE COMPANY OF AMERICA
05/23/2006 PCF90705 02/11/2015
EXCELSIOR INSURANCE COMPANY
04/01/2003 PCF46786 04/26/2024
FARMINGTON CASUALTY COMPANY
04/12/2006 PCF995 12/05/2009
GREEN MOUNTAIN INSURANCE COMPANY INC
07/25/2012 PCF73
LAMORAK INSURANCE COMPANY
05/19/2009 PCF671 11/20/2010
MAIN STREET AMERICA ASSURANCE COMPANY
12/05/2019 PCF997
MAIN STREET AMERICA PROTECTION INSURANCE COMPANY
12/05/2019 PCF235440
NETHERLANDS INSURANCE COMPANY
04/01/2003 PCF827 04/26/2024
NGM INSURANCE COMPANY
12/05/2019 PCF86
NORTHERN SECURITY INSURANCE COMPANY INC
04/26/1985 PCF36
OHIO CASUALTY INSURANCE COMPANY
06/20/2014 PCF73059
OHIO SECURITY INSURANCE COMPANY
06/20/2014 PCF200581
PEERLESS INSURANCE COMPANY
04/01/2003 PCF548
PENNSYLVANIA INSURANCE COMPANY
05/19/2009 PCF72859 11/20/2010
PHENIX MUTUAL FIRE INSURANCE COMPANY
04/26/1985 PCF554 02/13/2020
PROGRESSIVE NORTHERN INSURANCE COMPANY
04/04/2015 PCF51006
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
04/04/2015 PCF27738
RLI INSURANCE COMPANY
04/09/2009 PCF695 08/14/2014
SECURITY NATIONAL INSURANCE COMPANY
08/01/2019 PCF189490
SEQUOIA INSURANCE COMPANY
04/23/2020 PCF128467
THE STANDARD FIRE INSURANCE COMPANY
03/23/2004 PCF584
STATE MUTUAL INSURANCE COMPANY
07/25/2012 PCD102
TECHNOLOGY INSURANCE COMPANY INC
08/01/2019 PCF136874
TRAVELERS CASUALTY COMPANY OF CONNECTICUT
03/23/2004 PCF31810 12/05/2009
TRAVELERS CASUALTY INSURANCE COMPANY OF AMERICA
04/12/2006 PCF935 12/05/2009
THE TRAVELERS HOME AND MARINE INSURANCE COMPANY
06/18/2007 PCF56556
THE TRAVELERS INDEMNITY COMPANY OF AMERICA
03/23/2004 PCF585 12/05/2009
TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA
03/23/2004 PCF711 12/05/2009
TRAVELERS PROPERTY CASUALTY INSURANCE COMPANY
03/23/2004 PCF31808 12/05/2009
UNITED STATES FIRE INSURANCE COMPANY
03/16/2021 PCF101256 05/23/2022
VERMONT ACCIDENT INSURANCE COMPANY INC
07/25/2012 PCF883
VERMONT MUTUAL INSURANCE COMPANY
04/26/1985 PCF37
WESCO INSURANCE COMPANY
08/01/2019 PCF49735
WEST AMERICAN INSURANCE COMPANY
06/20/2014 PCF200576
WESTERN SURETY COMPANY
07/14/2004 PCF96
YORK INSURANCE COMPANY OF MAINE
05/19/2009 PCF498 07/21/2016

Authority

Description Issue Date Termination Date Status
CASUALTY 10/01/1997 Active
HEALTH 01/29/1996 Active
LIFE 01/29/1996 Active
PROPERTY 10/01/1997 Active
HEALTH/X AUTHORITY ONLY 01/01/1901 01/29/1996 Terminated
INDEPENDENT PRODUCER 10/01/1997 09/28/2011 Terminated

Responsible For

Name License Number
IMMANUEL INSURANCE AGENCY INC AGN70351

License/Disciplinary Action

None.

PRODUCER NON-RESIDENT

License Number:
PRN21317
First Licensure:
06/10/1987
Cancel Date:
10/01/1997
Renewal Date:
01/01/1998

Mailing:
BARRINGTON, NH 03825
Phone:
+1 (603) 335-4300
Fax:
+1 (603) 822-7101

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 01/01/1990 09/30/1997

Agency

None.

Employer

None.

Authority

Description Issue Date Termination Date Status
INDEPENDENT PRODUCER 12/15/1993 10/01/1997 Terminated
LIFE AND HEALTH 12/15/1993 10/01/1997 Terminated
PROPERTY AND CASUALTY 01/01/1901 10/01/1997 Terminated

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
3356286

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 04:50:30 PM