black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

MICHAEL R. ROSE

PRODUCER NON-RESIDENT

License Number:
PRN198506
Status:
First Licensure:
12/24/2011
Cancel Date:
None

Mailing:
CHESHIRE, CT 06410
Phone:
+1 (617) 880-1500
Fax:
+1 (617) 880-1600
Email:
license@lockton.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 12/24/2011

Agency

Name Issue Date License Number Expiration Date Cancel Date
AON PRIVATE RISK MANAGEMENT INSURANCE AGENCY INC
12/24/2011 AGN57444 05/08/2012
AON RISK SERVICES NORTHEAST INC
06/08/2012 AGN60204 08/31/2015
LOCKTON COMPANIES LLC
09/27/2024 AGN123337

Employer

Name Issue Date License Number Expiration Date Cancel Date
CHUBB INDEMNITY INSURANCE COMPANY
12/10/2018 PCF591
CHUBB NATIONAL INSURANCE COMPANY
12/10/2018 PCF80404
EXECUTIVE RISK INDEMNITY INC.
12/10/2018 PCF42522
FEDERAL INSURANCE COMPANY
12/10/2018 PCF439
GREAT NORTHERN INSURANCE COMPANY
12/10/2018 PCF455
PACIFIC INDEMNITY COMPANY
12/10/2018 PCF547
VIGILANT INSURANCE COMPANY
12/10/2018 PCF613

Authority

Description Issue Date Termination Date Status
CASUALTY 12/24/2011 Active
HEALTH 09/12/2024 Active
LIFE 09/12/2024 Active
PROPERTY 12/24/2011 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
8585190

Other Addresses

Address Type
CHESHIRE, CT 06410
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 11:32:14 PM