black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

ANDREA JEAN NICKLIN

PRODUCER NON-RESIDENT

License Number:
PRN206961
Status:
First Licensure:
09/01/2012
Cancel Date:
None

Mailing:
BANGOR, ME 04402
Phone:
+1 (603) 669-3218
Fax:
+1 (603) 645-4331
Email:
licensing@crossagency.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 09/01/2012

Agency

Name Issue Date License Number Expiration Date Cancel Date
OSSIPEE INSURANCE AGENCY INC
09/01/2012 AGR45606 11/23/2016

Employer

Name Issue Date License Number Expiration Date Cancel Date
ACADIA INSURANCE COMPANY
07/09/2013 PCF35064
ALLMERICA FINANCIAL BENEFIT INSURANCE COMPANY
12/23/2016 PCF145893
BRISTOL WEST INSURANCE COMPANY
12/21/2016 PCF78370
CITIZENS INSURANCE COMPANY OF AMERICA
12/23/2016 PCF937
CONCORD GENERAL MUTUAL INSURANCE COMPANY
12/24/2013 PCF416 06/19/2017
CONCORD GENERAL MUTUAL INSURANCE COMPANY
11/06/2019 PCF416
CONTINENTAL WESTERN INSURANCE COMPANY
07/09/2013 PCF673
EMPLOYERS INSURANCE COMPANY OF WAUSAU
09/14/2015 PCF434 12/06/2016
FIREMEN'S INSURANCE COMPANY OF WASHINGTON DC
07/09/2013 PCF35141
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
12/21/2016 PCF445
FOREMOST PROPERTY AND CASUALTY INSURANCE COMPANY
12/21/2016 PCF37337 08/28/2019
FOREMOST SIGNATURE INSURANCE COMPANY
12/21/2016 PCF176307 08/28/2019
FRANKENMUTH INSURANCE COMPANY
03/24/2014 PCF83684 11/23/2016
GRAPHIC ARTS MUTUAL INSURANCE COMPANY
07/18/2017 PCF453 08/28/2023
GREEN MOUNTAIN INSURANCE COMPANY INC
12/24/2013 PCF73 06/19/2017
GREEN MOUNTAIN INSURANCE COMPANY INC
11/06/2019 PCF73
THE HANOVER AMERICAN INSURANCE COMPANY
12/23/2016 PCF197298
THE HANOVER INSURANCE COMPANY
12/23/2016 PCF712
MASSACHUSETTS BAY INSURANCE COMPANY
12/23/2016 PCF505
PATRIOT INSURANCE COMPANY
03/24/2014 PCD208274 11/23/2016
PENINSULA INSURANCE COMPANY-THE
08/06/2015 PCF120460 11/23/2016
SAFECO NATIONAL INSURANCE COMPANY
09/14/2015 PCF248658
STATE MUTUAL INSURANCE COMPANY
12/24/2013 PCD102 06/19/2017
TRI STATE INSURANCE COMPANY OF MINNESOTA
03/13/2014 PCF146321
UNION INSURANCE COMPANY
07/09/2013 PCF141739
UNITED STATES FIRE INSURANCE COMPANY
03/16/2021 PCF101256 05/23/2022
UTICA MUTUAL INSURANCE COMPANY
07/18/2017 PCF610 08/28/2023
VERMONT ACCIDENT INSURANCE COMPANY INC
12/24/2013 PCF883 06/19/2017
VERMONT ACCIDENT INSURANCE COMPANY INC
11/06/2019 PCF883

Authority

Description Issue Date Termination Date Status
CASUALTY 09/01/2012 Active
PROPERTY 09/01/2012 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
11028684

Other Addresses

Address Type
1100 ELM ST
MANCHESTER, NH 03101-1500
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 06:04:08 PM