Search → CRESTBROOK INSURANCE COMPANY
DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE
CRESTBROOK INSURANCE COMPANY
INSURANCE COMPANY
License Number:
PCF216145
Status:
First Licensure:
05/03/2013
Cancel Date:
None
Renewal Date:
08/10/2025
NAIC Code:
Street Location:
18700 N HAYDEN RD
SCOTTSDALE, AZ 85255-6741
SCOTTSDALE, AZ 85255-6741
Mailing:
1 W NATIONWIDE BLVD # 1-14-301
COLUMBUS, OH 43215-2752
COLUMBUS, OH 43215-2752
Phone:
+1 (614) 249-1545
Fax:
+1 (614) 277-5501
Email:
finrpt@nationwide.com
| License Type | Start Date | End Date |
|---|---|---|
| INSURANCE COMPANY | 05/03/2013 | 08/10/2025 |
| Name | Issue Date | License Number | Expiration Date | Cancel Date |
|---|---|---|---|---|
| JOSHUA KEITH ADKINS |
11/25/2024 | PRN473562 | ||
| JOSEPH MICHAEL AGNELLO |
10/06/2015 | PRN75337 | ||
| MARY ALLGOOD |
07/28/2020 | PRN324650 | ||
| VANESSA LYN ANDERSON |
05/12/2021 | PRN288437 | ||
| BRIAN LEROY BECKER |
11/04/2024 | PRN328738 | ||
| JEREMY BRYANT |
09/16/2015 | PRN211109 | ||
| TAMRA BRYANT |
06/12/2020 | PRN296577 | ||
| KELLY M. BURPEE |
10/31/2024 | PRR39413 | ||
| DEREK JAMES CASHMAN |
10/31/2024 | PRR156269 | ||
| MICHELLE JOY CHARLOUX |
10/31/2024 | PRR41520 | ||
| CHRISTENSEN GROUP INC |
09/10/2015 | AGN142406 | ||
| JOHN STUART COLLIER JR |
08/03/2015 | PRN128090 | ||
| JAMES J. CONVERTINO |
09/16/2015 | PRN146688 | ||
| JONATHAN MICHAEL CROSS |
10/31/2024 | PRR61663 | ||
| ROYCE MARVIN CROSS |
10/31/2024 | PRR4897 | ||
| WOODROW WARREN CROSS II |
10/31/2024 | PRR140565 | ||
| MATTHEW DIRK DEFENDIS |
09/28/2015 | PRN60219 | ||
| KYLIE B. HAYNES |
11/12/2024 | PRN115399 | ||
| HAYS COMPANIES INC |
07/22/2021 | AGN320627 | ||
| MICHAEL JOSEPH HEFFERNAN |
01/26/2023 | PRN90684 | ||
| JODIE ANN HERRICK |
10/31/2024 | PRR105413 | ||
| JAS D COLLIER & CO |
08/03/2015 | AGN128091 | ||
| NICHOLAS LABBE |
10/08/2015 | PRN219686 | ||
| PHILIP G. MAVON III |
10/06/2015 | PRN135633 | ||
| WILLIAM B. MCKECHNIE |
10/31/2024 | PRR40160 | ||
| SEAN R. MILLER SR |
10/15/2015 | PRN26155 | ||
| JAMES B. NELSON |
10/01/2015 | PRN107023 | ||
| DENNIS OLSEN |
10/13/2024 | PRN165934 | ||
| MEGAN MARIE PEDERSEN |
09/20/2022 | PRN382090 | ||
| EVAN M. ROSS |
10/15/2015 | PRN89525 | ||
| CAROLYN L. SCHAEFER |
09/24/2015 | PRN100586 | ||
| SUSAN R. SIEGMAN |
09/29/2015 | PRN125049 | ||
| TODD A. STEIN |
09/18/2015 | PRN131686 | ||
| NICOLE STEVENS |
10/31/2024 | PRR200790 | ||
| EDWARD JOSEPH SZYLKO |
09/28/2015 | PRN112589 | ||
| JOHN PORTIS TANNER |
10/07/2024 | PRN211447 | ||
| LEE PATRICK TILLEMAN |
05/12/2021 | PRN288426 | ||
| USI INS SERVICES LLC |
06/12/2020 | AGN147905 | ||
| RUSSELL JEFFREY WELTNER |
07/29/2015 | PRN75403 | ||
| WILLIAM R. WILKERSON |
10/01/2015 | PRN72970 |
Supervised Entity
None.
| Description | Issue Date | Termination Date | Status |
|---|---|---|---|
| FIRE | 05/03/2013 | Active | |
| ALLIED LINES | 05/03/2013 | Active | |
| FARMOWNERS MULTIPLE PERIL | 05/03/2013 | Active | |
| HOMEOWNERS MULTIPLE PERIL | 05/03/2013 | Active | |
| COMMERCIAL MULTIPLE PERIL | 05/03/2013 | Active | |
| OCEAN MARINE | 05/03/2013 | Active | |
| INLAND MARINE | 05/03/2013 | Active | |
| MEDICAL MALPRACTICE | 05/03/2013 | Active | |
| EARTHQUAKE | 05/03/2013 | Active | |
| WORKERS COMPENSATION | 05/03/2013 | Active | |
| OTHER LIABILITY | 05/03/2013 | Active | |
| PRODUCTS LIABILITY | 05/03/2013 | Active | |
| AUTO LIABILITY | 05/03/2013 | Active | |
| AUTO PHYS DAMAGE | 05/03/2013 | Active | |
| FIDELITY | 05/03/2013 | Active | |
| SURETY | 05/03/2013 | Active | |
| GLASS | 05/03/2013 | Active | |
| BURGLARY AND THEFT | 05/03/2013 | Active | |
| BOILER AND MACHINERY | 05/03/2013 | Active |
| Type | Contact |
|---|---|
| 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 |
| WORKERS COMPENSATION CLAIMS | JASON TRYBULSKI PO BOX 182079 COLUMBUS, OH 43218-2079 Phone: +1 (614) 450-0666 Email: trybuj1@nationwide.com |
| PRODUCER LICENSING CONTACT | DONNA STEWART DONNA STEWART 1 NATIONWIDE PLZ # 1-24-104 COLUMBUS, OH 43215-2226 Phone: +1 (614) 677-4991 Email: billrnwl@nationwide.com |
License/Disciplinary Action
None.
GENERAL INFORMATION
NAIC Information
National Producer Number (NPN)
| Phone Number | Type |
|---|---|
| +1 (480) 365-4000 | 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: 05/15/2025 11:39:01 AM
