black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

SAMANTHA ANN PAQUETTE

PRODUCER NON-RESIDENT

License Number:
PRN200610
Status:
First Licensure:
03/03/2012
Cancel Date:
None

Mailing:
WADDELL, AZ 85355
Phone:
+1 (623) 225-9360
Fax:
+1 (855) 242-7584
Email:
samantha.paquette@willistowerswatson.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 03/03/2012

Agency

Name Issue Date License Number Expiration Date Cancel Date
HOMESITE INS AGENCY INC
06/06/2012 AGN124816
WELLS FARGO INSURANCE INC
12/06/2012 AGN65092 06/13/2016
WILLIS OF ARIZONA INC
11/22/2017 AGN53383 11/27/2019

Employer

Name Issue Date License Number Expiration Date Cancel Date
ALLIED INSURANCE COMPANY OF AMERICA
09/24/2015 PCF216138 03/25/2022
AMERICAN MODERN HOME INSURANCE COMPANY
03/29/2012 PCF808 05/08/2017
AMERICAN MODERN SELECT INSURANCE COMPANY
03/29/2012 PCF123448 05/08/2017
THE AUTOMOBILE INSURANCE COMPANY OF HARTFORD, CONNECTICUT
01/04/2013 PCF659 07/02/2014
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
12/05/2012 PCF445 08/10/2017
FOREMOST PROPERTY AND CASUALTY INSURANCE COMPANY
12/17/2015 PCF37337 08/10/2017
FOREMOST SIGNATURE INSURANCE COMPANY
12/17/2015 PCF176307 08/10/2017
HARLEYSVILLE INSURANCE COMPANY
07/11/2014 PCF129870 08/16/2017
HARLEYSVILLE PREFERRED INSURANCE COMPANY
07/11/2014 PCF128998 08/16/2017
HARLEYSVILLE WORCESTER INSURANCE COMPANY
07/11/2014 PCF908 08/16/2017
HOMESITE INSURANCE COMPANY OF THE MIDWEST
03/13/2012 PCF116371 11/05/2012
NATIONWIDE MUTUAL INSURANCE COMPANY
07/11/2014 PCF32 08/16/2017
THE PHOENIX INSURANCE COMPANY
01/04/2013 PCF557 07/02/2014
PROGRESSIVE NORTHERN INSURANCE COMPANY
12/14/2012 PCF51006 08/28/2017
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
12/14/2012 PCF27738 08/28/2017
THE STANDARD FIRE INSURANCE COMPANY
01/04/2013 PCF584 07/02/2014
TRAVELERS CASUALTY COMPANY OF CONNECTICUT
01/04/2013 PCF31810 07/02/2014
THE TRAVELERS HOME AND MARINE INSURANCE COMPANY
01/04/2013 PCF56556 08/16/2017
THE TRAVELERS INDEMNITY COMPANY OF AMERICA
01/04/2013 PCF585 08/16/2017
THE TRAVELERS INDEMNITY COMPANY
01/04/2013 PCF602 07/02/2014

Authority

Description Issue Date Termination Date Status
CASUALTY 03/03/2012 Active
PROPERTY 03/03/2012 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
16528337

Other Addresses

Address Type
WADDELL, AZ 85355
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: 06/25/2025 07:53:08 PM