black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

BLOSSOM INS AGENCY INC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN185405
Status:
Active
First Licensure:
12/09/2010
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
58 SOUTH ST
CONCORD, NH 03301-3612
Mailing:
PO BOX 3000
CONCORD, NH 03302-3000
Phone:
+1 (603) 224-3000
Fax:
+1 (603) 225-9115
Email:
randy.blossom@blossominsurance.com

History
License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 12/09/2010 04/01/2027

Alias, DBA or Trade Name
Name
BLOSSOM INSURANCE
CENTRAL INSURANCE ASSOCIATES
JACKMAN & LANG
PAIGE INSURANCE AGENCY
RUMFORD INSURANCE

Employer
Name Issue Date License Number Expiration Date Cancel Date
ALLIED EASTERN INDEMNITY COMPANY
 09/08/2017 PCF242683
AMERICAN ECONOMY INSURANCE COMPANY
 01/17/2012 PCF363 12/10/2021
AMERICAN FIRE AND CASUALTY COMPANY
 07/02/2014 PCF200822 11/10/2023
AMERICAN MODERN HOME INSURANCE COMPANY
 09/22/2014 PCF808 10/28/2021
AMERICAN MODERN PROPERTY & CASUALTY INSURANCE COMPANY
 10/16/2017 PCF234561
AMERICAN MODERN SELECT INSURANCE COMPANY
 05/23/2017 PCF123448 10/28/2021
AMERICAN STATES INSURANCE COMPANY
 01/17/2012 PCF377 12/10/2021
ANSUR AMERICA INSURANCE COMPANY
 03/07/2024 PCF95773
THE AUTOMOBILE INSURANCE COMPANY OF HARTFORD, CONNECTICUT
 10/02/2018 PCF659 07/08/2020
BANNER LIFE INSURANCE COMPANY
 07/14/2014 LHF50047
CAMBRIDGE MUTUAL FIRE INSURANCE COMPANY
 12/20/2010 PCF396
CASCO INDEMNITY COMPANY
 07/11/2017 PCF921
THE CHARTER OAK FIRE INSURANCE COMPANY
 10/02/2018 PCF403 07/08/2020
CITIZENS INSURANCE COMPANY OF AMERICA
 09/18/2020 PCF937
CONCORD GENERAL MUTUAL INSURANCE COMPANY
 07/20/2018 PCF416
EASTERN ADVANTAGE ASSURANCE COMPANY
 09/08/2017 PCF242684
EASTERN ALLIANCE INSURANCE COMPANY
 09/08/2017 PCF242682
EXCELSIOR INSURANCE COMPANY
 01/17/2012 PCF46786 05/09/2024
FARMINGTON CASUALTY COMPANY
 10/02/2018 PCF995 07/08/2020
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
 08/21/2013 PCF445
FRANKENMUTH INSURANCE COMPANY
 03/07/2024 PCF83684
GENERAL INSURANCE COMPANY OF AMERICA
 01/17/2012 PCF447 12/09/2022
GENERAL INSURANCE COMPANY OF AMERICA
 01/09/2023 PCF447
GREEN MOUNTAIN INSURANCE COMPANY INC
 07/20/2018 PCF73
THE HANOVER INSURANCE COMPANY
 09/18/2020 PCF712
MASSACHUSETTS BAY INSURANCE COMPANY
 09/18/2020 PCF505
MERRIMACK MUTUAL FIRE INSURANCE COMPANY
 12/20/2010 PCF79
MMG INSURANCE COMPANY
 07/12/2016 PCD5
NETHERLANDS INSURANCE COMPANY
 01/17/2012 PCF827 05/10/2024
NEW ENGLAND GUARANTY INSURANCE COMPANY INC
 06/19/2013 PCF87 12/13/2018
NORTHERN SECURITY INSURANCE COMPANY INC
 09/20/2016 PCF36
OHIO CASUALTY INSURANCE COMPANY
 01/17/2012 PCF73059 12/09/2022
OHIO CASUALTY INSURANCE COMPANY
 01/09/2023 PCF73059
OHIO SECURITY INSURANCE COMPANY
 07/02/2014 PCF200581 11/10/2023
OHIO SECURITY INSURANCE COMPANY
 01/10/2024 PCF200581
PATRIOT INSURANCE COMPANY
 03/07/2024 PCD208274
PEERLESS INDEMNITY INSURANCE COMPANY
 01/17/2012 PCF97399 03/04/2022
PEERLESS INSURANCE COMPANY
 01/17/2012 PCF548
PHENIX MUTUAL FIRE INSURANCE COMPANY
 02/22/2017 PCF554 10/01/2020
THE PHOENIX INSURANCE COMPANY
 10/02/2018 PCF557 07/08/2020
THE PHOENIX INSURANCE COMPANY
 06/26/2024 PCF557
PROGRESSIVE NORTHERN INSURANCE COMPANY
 06/17/2016 PCF51006
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
 06/17/2016 PCF27738
SAFECO NATIONAL INSURANCE COMPANY
 07/07/2023 PCF248658
THE STANDARD FIRE INSURANCE COMPANY
 10/02/2018 PCF584 07/08/2020
THE STANDARD FIRE INSURANCE COMPANY
 04/23/2024 PCF584
TRAVELERS CASUALTY AND SURETY COMPANY
 10/02/2018 PCF348 07/08/2020
TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA
 10/02/2018 PCF974 07/08/2020
TRAVELERS CASUALTY INSURANCE COMPANY OF AMERICA
 10/02/2018 PCF935 07/08/2020
TRAVELERS COMMERCIAL CASUALTY COMPANY
 10/02/2018 PCF83507 07/08/2020
THE TRAVELERS HOME AND MARINE INSURANCE COMPANY
 10/02/2018 PCF56556 07/08/2020
THE TRAVELERS INDEMNITY COMPANY OF AMERICA
 10/02/2018 PCF585 07/08/2020
THE TRAVELERS INDEMNITY COMPANY OF CONNECTICUT
 10/02/2018 PCF435 07/08/2020
THE TRAVELERS INDEMNITY COMPANY
 10/02/2018 PCF602 07/08/2020
TRAVELERS PERSONAL INSURANCE COMPANY
 10/02/2018 PCF201268 07/08/2020
TRAVELERS PERSONAL INSURANCE COMPANY
 06/19/2024 PCF201268
TRAVELERS PERSONAL SECURITY INSURANCE COMPANY
 12/24/2025 PCF201269
TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA
 10/02/2018 PCF711 07/08/2020
UNION MUTUAL FIRE INSURANCE COMPANY
 06/19/2013 PCF95
UNITED OHIO INSURANCE COMPANY
 07/11/2017 PCF192494
UNITED STATES FIRE INSURANCE COMPANY
 10/13/2020 PCF101256 05/23/2022
VERMONT ACCIDENT INSURANCE COMPANY INC
 07/20/2018 PCF883
VERMONT MUTUAL INSURANCE COMPANY
 09/20/2016 PCF37
WEST AMERICAN INSURANCE COMPANY
 07/02/2014 PCF200576

Affiliated Agent
Name Issue Date License Number Expiration Date Cancel Date
RANDY J. BLOSSOM
 12/09/2010 PRN155478

Branch Office

None.

Supervised Entity

None.

Responsible Individual
Name License Number
RANDY J. BLOSSOM PRN155478

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
6383783

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: 12/31/2025 06:37:17 AM