black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JORDAN MICAH LAZARE

PRODUCER NON-RESIDENT

License Number:
PRN373123
Status:
First Licensure:
01/19/2021
Cancel Date:
None

Mailing:
CORAL SPRINGS, FL 33076
Phone:
+1 (954) 494-3121
Fax:
+1 (718) 228-2501
Email:
licensing@supersure.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 01/19/2021

Agency

Name Issue Date License Number Expiration Date Cancel Date
BETTER COVER, LLC
01/19/2021 AGN327887
MARBLE INSURANCE AGENCY, INC.
02/03/2023 AGN437627 06/30/2025
SUPERSURE INSURANCE AGENCY, LLC
03/03/2026 AGN537674

Employer

Name Issue Date License Number Expiration Date Cancel Date
BRISTOL WEST INSURANCE COMPANY
01/18/2022 PCF78370 08/10/2022
THE CHARTER OAK FIRE INSURANCE COMPANY
04/02/2026 PCF403
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
01/18/2022 PCF445 08/10/2022
NATIONWIDE GENERAL INSURANCE COMPANY
03/10/2022 PCF30 10/06/2022
NATIONWIDE MUTUAL FIRE INSURANCE COMPANY
03/10/2022 PCF31 10/06/2022
NATIONWIDE MUTUAL INSURANCE COMPANY
03/10/2022 PCF32 10/06/2022
NATIONWIDE PROPERTY & CASUALTY INSURANCE COMPANY
03/10/2022 PCF151089 10/06/2022
THE PHOENIX INSURANCE COMPANY
04/02/2026 PCF557
THE TRAVELERS INDEMNITY COMPANY OF AMERICA
04/02/2026 PCF585
THE TRAVELERS INDEMNITY COMPANY OF CONNECTICUT
04/02/2026 PCF435
THE TRAVELERS INDEMNITY COMPANY
04/02/2026 PCF602
TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA
04/02/2026 PCF711

Authority

Description Issue Date Termination Date Status
CASUALTY 01/19/2021 Active
PROPERTY 01/19/2021 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
18919978

Other Addresses

Address Type
CORAL SPRINGS, FL 33076
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: 05/29/2026 04:35:42 PM