black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

FOREMOST SIGNATURE INSURANCE COMPANY

INSURANCE COMPANY

License Number:
PCF176307
Status:
First Licensure:
03/31/2010
Cancel Date:
None
Renewal Date:
08/10/2025
NAIC Code:
41513

Street Location:
5600 BEECHTREE LN SE
CALEDONIA, MI 49316-9587
Mailing:
PO BOX 2450
GRAND RAPIDS, MI 49501-2450
Phone:
+1 (616) 942-3000
Fax:
+1 (866) 683-8709
Email:
mary.aguilera@bristolwest.com

History

License Type Start Date End Date
INSURANCE COMPANY 03/31/2010 08/10/2025

Employee

None.

Supervised Entity

None.

Authority

Description Issue Date Termination Date Status
FIRE 03/31/2010 Active
ALLIED LINES 03/31/2010 Active
COMMERCIAL MULTIPLE PERIL 03/31/2010 Active
INLAND MARINE 03/31/2010 Active
WORKERS COMPENSATION 03/31/2010 Active
OTHER LIABILITY 03/31/2010 Active
AUTO LIABILITY 03/31/2010 Active
AUTO PHYS DAMAGE 03/31/2010 Active
FIDELITY 03/31/2010 Active
GLASS 03/31/2010 Active
BURGLARY AND THEFT 03/31/2010 Active
BOILER AND MACHINERY 03/31/2010 Active

Contacts

Type Contact
PRODUCER LICENSING CONTACT LORIE BARTZ
LORIE BARTZ
5600 BEECHTREE LN SE
CALEDONIA, MI 49316-9587
Phone: +1 (800) 638-3012
Email: mahsalessupport@farmersinsurance.com
WORKERS COMPENSATION CLAIMS DANIELLE MUSGROVE
FOREMOST SIGNATURE INSURANCE COMPANY
PO BOX 108843
OKLAHOMA CITY, OK 73101-8843
Phone: +1 (866) 967-5256
Fax: +1 (866) 846-3114
Email: wcclaimsdocs@farmersinsurance.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: 05/13/2025 01:58:16 PM