black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

WILLIAM ADAMS BLACK

PRODUCER NON-RESIDENT

License Number:
PRN92297
Status:
First Licensure:
01/27/2003
Cancel Date:
None

Mailing:
BOSTON, MA 02210
Phone:
+1 (857) 204-2224
Email:
blackwma2000@gmail.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 01/27/2003

Agency

Name Issue Date License Number Expiration Date Cancel Date
AP INSURANCE BROKERS INC
06/12/2003 AGN95921 02/14/2005
AP INTEGO INSURANCE GROUP LLC
06/10/2004 AGN104285 02/16/2017
AP INTEGO INSURANCE GROUP LLC
02/21/2017 AGN104285
HOLLIS,PERRIN & BLACK INSURANCE AGENCY INC
01/27/2003 AGN92298 07/01/2011
ZILLION INSURANCE SERVICES
06/14/2018 AGN311208

Employer

Name Issue Date License Number Expiration Date Cancel Date
ACE AMERICAN INSURANCE COMPANY
08/12/2004 PCF640
ACE FIRE UNDERWRITERS INSURANCE COMPANY
11/26/2008 PCF43
ACE PROPERTY & CASUALTY INSURANCE COMPANY
09/25/2003 PCF44
AMERICAN CASUALTY COMPANY OF READING PENNSYLVANIA
03/04/2005 PCF358 02/05/2021
AMERICAN MODERN HOME INSURANCE COMPANY
06/11/2009 PCF808 12/17/2019
AMERICAN MODERN SELECT INSURANCE COMPANY
06/11/2009 PCF123448 12/17/2019
AXA INSURANCE COMPANY
11/29/2018 PCF38582 05/07/2022
BANKERS STANDARD INSURANCE COMPANY
11/26/2008 PCF152165
CAMBRIDGE MUTUAL FIRE INSURANCE COMPANY
02/04/2003 PCF396 07/08/2016
CHUBB INDEMNITY INSURANCE COMPANY
08/17/2010 PCF591
CHUBB NATIONAL INSURANCE COMPANY
08/17/2010 PCF80404
CONTINENTAL CASUALTY COMPANY
03/04/2005 PCF420 02/05/2021
CONTINENTAL INSURANCE COMPANY
02/27/2006 PCF782 02/05/2021
ENCOMPASS INSURANCE COMPANY OF AMERICA
06/24/2005 PCF90705 04/25/2007
FARMINGTON CASUALTY COMPANY
04/12/2006 PCF995 12/05/2009
FEDERAL INSURANCE COMPANY
08/10/2006 PCF439
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
10/04/2004 PCF445 02/20/2013
GREAT NORTHERN INSURANCE COMPANY
08/17/2010 PCF455
HARTFORD FIRE INSURANCE COMPANY
07/02/2012 PCF464 09/06/2013
HARTFORD INSURANCE COMPANY OF THE MIDWEST
08/02/2011 PCF1021 09/06/2013
INDEMNITY INSURANCE COMPANY OF NORTH AMERICA
02/27/2016 PCF50104
JEWELERS MUTUAL INSURANCE COMPANY, SI
02/22/2007 PCF773 09/28/2017
MERRIMACK MUTUAL FIRE INSURANCE COMPANY
02/04/2003 PCF79 07/08/2016
NATIONAL FIRE INSURANCE COMPANY OF HARTFORD
03/04/2005 PCF523 02/05/2021
PACIFIC EMPLOYERS INSURANCE COMPANY
01/25/2008 PCF546
PACIFIC INDEMNITY COMPANY
08/17/2010 PCF547
THE PHOENIX INSURANCE COMPANY
02/17/2004 PCF557 12/05/2009
RLI INSURANCE COMPANY
10/14/2004 PCF695 09/06/2005
RLI INSURANCE COMPANY
01/22/2009 PCF695 02/25/2015
SENTINEL INSURANCE COMPANY LTD
08/04/2011 PCF84269 09/06/2013
THE STANDARD FIRE INSURANCE COMPANY
04/12/2006 PCF584 12/05/2009
TRANSCONTINENTAL INSURANCE COMPANY
03/04/2005 PCF597 12/31/2007
TRANSPORTATION INSURANCE COMPANY
03/04/2005 PCF601 02/05/2021
TRAVELERS CASUALTY INSURANCE COMPANY OF AMERICA
04/12/2006 PCF935 12/05/2009
TRAVELERS COMMERCIAL CASUALTY COMPANY
02/17/2004 PCF83507 12/05/2009
THE TRAVELERS HOME AND MARINE INSURANCE COMPANY
05/23/2006 PCF56556 12/05/2009
TWIN CITY FIRE INSURANCE COMPANY
04/28/2010 PCF963 01/25/2012
VALLEY FORGE INSURANCE COMPANY
03/04/2005 PCF612 02/05/2021
VIGILANT INSURANCE COMPANY
08/15/2006 PCF613
WESTCHESTER FIRE INSURANCE COMPANY
02/27/2016 PCF177973
XL SPECIALTY INSURANCE COMPANY
11/12/2020 PCF43958

Authority

Description Issue Date Termination Date Status
CASUALTY 01/27/2003 Active
HEALTH 04/22/2011 Active
LIFE 04/22/2011 Active
PROPERTY 01/27/2003 Active
SURPLUS LINES 07/29/2004 Active

Responsible For

Name License Number
ZILLION INSURANCE SERVICES AGN311208

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
5423620

Other Addresses

Address Type
BOSTON, MA 02210
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 01:04:20 AM