black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

LISA MARIE MONTEJANO

PRODUCER NON-RESIDENT

License Number:
PRN308621
Status:
First Licensure:
05/03/2018
Cancel Date:
None

Mailing:
PENFIELD, NY 14526
Phone:
+1 (860) 624-6331
Fax:
+1 (844) 826-1685
Email:
lisa.montejano@thehartford.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 05/03/2018

Agency

Name Issue Date License Number Expiration Date Cancel Date
COVERWALLET INC
07/12/2021 AGN264257 05/03/2023
NUTMEG INSURANCE AGENCY INC
04/21/2023 AGN53516
PAYCHEX INSURANCE AGENCY INC
05/03/2018 AGN56888 01/04/2022

Employer

Name Issue Date License Number Expiration Date Cancel Date
ACUITY A MUTUAL INSURANCE COMPANY
06/23/2021 PCF155357 05/01/2023
AMTRUST INSURANCE COMPANY
09/20/2022 PCF260762
HARTFORD ACCIDENT & INDEMNITY COMPANY
04/19/2023 PCF462
HARTFORD INSURANCE COMPANY OF THE MIDWEST
04/19/2023 PCF1021
SECURITY NATIONAL INSURANCE COMPANY
09/20/2022 PCF189490
SEQUOIA INSURANCE COMPANY
09/20/2022 PCF128467
TECHNOLOGY INSURANCE COMPANY INC
09/20/2022 PCF136874
WESCO INSURANCE COMPANY
09/20/2022 PCF49735

Authority

Description Issue Date Termination Date Status
CASUALTY 05/03/2018 Active
PROPERTY 05/03/2018 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
8169869

Other Addresses

Address Type
301 WOODS PARK DR
CLINTON, NY 13323-1144
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: 05/14/2025 05:16:42 AM