black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

PROVIDER INS GROUP LLC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN176864
First Licensure:
04/21/2010
Cancel Date:
01/22/2019
Renewal Date:
01/22/2019

Street Location:
160 GOULD ST STE 122
NEEDHAM, MA 02494-2300
Mailing:
160 GOULD ST STE 122
NEEDHAM, MA 02494-2300
Phone:
+1 (800) 658-7956
Fax:
+1 (781) 444-8961
Email:
kjones@providerig.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 04/21/2010 01/21/2019

Employer

Name Issue Date License Number Expiration Date Cancel Date
ACE AMERICAN INSURANCE COMPANY
02/28/2016 PCF640 01/02/2019
ACE PROPERTY & CASUALTY INSURANCE COMPANY
02/28/2016 PCF44 01/02/2019
AIG PROPERTY CASUALTY COMPANY
04/25/2011 PCF393 10/28/2016
AMERICAN ECONOMY INSURANCE COMPANY
12/12/2011 PCF363 01/13/2019
AMERICAN FIRE AND CASUALTY COMPANY
08/14/2012 PCF200822 01/13/2019
AMERICAN STATES INSURANCE COMPANY
12/12/2011 PCF377 01/13/2019
BANKERS STANDARD INSURANCE COMPANY
03/05/2016 PCF152165 01/02/2019
CHUBB INDEMNITY INSURANCE COMPANY
09/09/2011 PCF591 01/02/2019
EXCELSIOR INSURANCE COMPANY
12/12/2011 PCF46786 01/13/2019
FEDERAL INSURANCE COMPANY
05/24/2010 PCF439 01/02/2019
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
02/22/2013 PCF445 12/27/2018
GENERAL INSURANCE COMPANY OF AMERICA
12/12/2011 PCF447 01/13/2019
GREAT NORTHERN INSURANCE COMPANY
12/21/2010 PCF455 01/02/2019
INDEMNITY INSURANCE COMPANY OF NORTH AMERICA
02/28/2016 PCF50104 01/02/2019
NETHERLANDS INSURANCE COMPANY
12/12/2011 PCF827 01/13/2019
OHIO CASUALTY INSURANCE COMPANY
12/12/2011 PCF73059 01/13/2019
OHIO SECURITY INSURANCE COMPANY
08/14/2012 PCF200581 01/13/2019
PACIFIC EMPLOYERS INSURANCE COMPANY
03/05/2016 PCF546 01/02/2019
PACIFIC INDEMNITY COMPANY
12/21/2010 PCF547 01/02/2019
PATRONS OXFORD INSURANCE COMPANY
10/01/2011 PCD7 01/22/2019
PEERLESS INDEMNITY INSURANCE COMPANY
12/12/2011 PCF97399 01/13/2019
PEERLESS INSURANCE COMPANY
12/12/2011 PCF548 01/13/2019
PRIVILEGE UNDERWRITERS RECIPROCAL EXCHANGE
03/19/2018 PCF212805 01/22/2019
SAFECO NATIONAL INSURANCE COMPANY
06/18/2018 PCF248658 01/13/2019
STAR INSURANCE COMPANY
05/11/2012 PCF59785 01/22/2019
SUPERIOR SPECIALTY INSURANCE COMPANY
05/11/2012 PCF35220 10/09/2017
THE TRAVELERS INDEMNITY COMPANY
07/07/2016 PCF602 01/21/2019
VIGILANT INSURANCE COMPANY
09/09/2011 PCF613 01/02/2019
WEST AMERICAN INSURANCE COMPANY
11/21/2014 PCF200576 01/13/2019
WESTCHESTER FIRE INSURANCE COMPANY
02/28/2016 PCF177973 01/02/2019
WESTERN SURETY COMPANY
03/14/2012 PCF96 01/14/2019

Affiliated Agent

None.

Branch Office

None.

Supervised Entity

None.

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
15705295

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: 12/06/2025 08:12:03 PM