black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

COLBURN GROUP LLC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN285849
Status:
First Licensure:
04/20/2017
Cancel Date:
None
Renewal Date:
04/01/2025

Street Location:
163 FRONT ST
MARION, MA 02738-1526
Mailing:
PO BOX 10
MARION, MA 02738-0001
Phone:
+1 (508) 378-1166
Fax:
+1 (508) 378-1177
Email:
jennifer.demello@colburn.group

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 04/20/2017 04/01/2025

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN ECONOMY INSURANCE COMPANY
06/23/2022 PCF363
EMPLOYERS INSURANCE COMPANY OF WAUSAU
02/28/2018 PCF434
NETHERLANDS INSURANCE COMPANY
02/28/2018 PCF827 05/10/2024
PEERLESS INSURANCE COMPANY
02/28/2018 PCF548
SAFECO NATIONAL INSURANCE COMPANY
02/28/2018 PCF248658 11/10/2023
WESTERN SURETY COMPANY
04/26/2017 PCF96

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
CHARLES COLBURN RIDER
04/20/2017 PRN282439

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
CHARLES COLBURN RIDER PRN282439

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
16197245

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: 05/19/2025 06:27:03 AM