black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

PHYSICIANS INS AGENCY OF MASS INC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN138446
Status:
First Licensure:
04/06/2007
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
860 WINTER ST
WALTHAM, MA 02451-1449
Mailing:
860 WINTER ST
WALTHAM, MA 02451-1449
Phone:
+1 (781) 434-7525
Fax:
+1 (781) 434-6929
Email:
tbryant@mms.org

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 04/06/2007 04/01/2027

Alias, DBA or Trade Name

Name
ACTUATE INSURANCE

Employer

Name Issue Date License Number Expiration Date Cancel Date
ALLMERICA FINANCIAL ALLIANCE INSURANCE COMPANY
05/16/2025 PCF75617
ALLMERICA FINANCIAL BENEFIT INSURANCE COMPANY
05/16/2025 PCF145893
CITIZENS INSURANCE COMPANY OF AMERICA
05/16/2025 PCF937
GREAT AMERICAN ALLIANCE INSURANCE COMPANY
03/19/2009 PCF46804 10/26/2016
GREAT AMERICAN ASSURANCE COMPANY
03/19/2009 PCF702 08/08/2012
GREAT AMERICAN INSURANCE COMPANY
03/19/2009 PCF764 10/26/2016
GREAT AMERICAN INSURANCE COMPANY OF NEW YORK
03/19/2009 PCF326 10/26/2016
THE HANOVER AMERICAN INSURANCE COMPANY
05/16/2025 PCF197298
THE HANOVER INSURANCE COMPANY
05/16/2025 PCF712
MASSACHUSETTS BAY INSURANCE COMPANY
05/16/2025 PCF505
PROSELECT INSURANCE COMPANY
01/15/2008 PCF346
VERLAN FIRE INSURANCE COMPANY
05/16/2025 PCF161934

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
THOMAS J. BRYANT
04/14/2017 PRN285592

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
THOMAS J. BRYANT PRN285592

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
5437718

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: 06/28/2025 08:54:37 PM