black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

UNITED ASSURANCE INC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN100129
Status:
First Licensure:
12/03/2003
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
16-00 POLLITT DR
FAIR LAWN, NJ 07410-2764
Mailing:
16-00 POLLITT DR
FAIR LAWN, NJ 07410-2764
Phone:
+1 (201) 797-6600
Fax:
+1 (201) 797-4455
Email:
t.perna@unitedassurance.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 03/07/2006 04/01/2027
*** NOT ACTIVE *** 07/01/2005 03/06/2006
NON-RESIDENT PRODUCER AGENCY 12/03/2003 06/30/2005

Alias, DBA or Trade Name

Name
UNITED ASSURANCE AGENCY

Employer

Name Issue Date License Number Expiration Date Cancel Date
ACE AMERICAN INSURANCE COMPANY
05/11/2010 PCF640
ACE FIRE UNDERWRITERS INSURANCE COMPANY
05/11/2010 PCF43
ACE PROPERTY & CASUALTY INSURANCE COMPANY
05/11/2010 PCF44
AMTRUST INSURANCE COMPANY
09/20/2022 PCF260762
BANKERS STANDARD INSURANCE COMPANY
05/11/2010 PCF152165
FEDERAL INSURANCE COMPANY
05/17/2012 PCF439
HARTFORD CASUALTY INSURANCE COMPANY
09/12/2011 PCF967 05/18/2019
INDEMNITY INSURANCE COMPANY OF NORTH AMERICA
03/12/2016 PCF50104
MAIN STREET AMERICA ASSURANCE COMPANY
10/04/2017 PCF997
MAIN STREET AMERICA PROTECTION INSURANCE COMPANY
10/04/2017 PCF235440
NATIONAL SPECIALTY INSURANCE COMPANY
08/09/2022 PCF94585
NGM INSURANCE COMPANY
10/04/2017 PCF86
PACIFIC EMPLOYERS INSURANCE COMPANY
05/11/2010 PCF546
PACIFIC INDEMNITY COMPANY
11/10/2015 PCF547
SAMSUNG FIRE & MARINE INSURANCE CO., LTD (US BRANCH)
08/22/2014 PCF208107 09/19/2017
SECURITY NATIONAL INSURANCE COMPANY
06/23/2017 PCF189490
SEQUOIA INSURANCE COMPANY
04/23/2020 PCF128467
STATE NATIONAL INSURANCE COMPANY INC.
08/09/2022 PCF75933
TECHNOLOGY INSURANCE COMPANY INC
06/23/2017 PCF136874
THE TRAVELERS HOME AND MARINE INSURANCE COMPANY
11/10/2015 PCF56556 07/11/2017
WESCO INSURANCE COMPANY
06/23/2017 PCF49735
WESTCHESTER FIRE INSURANCE COMPANY
05/11/2010 PCF335 01/01/2011
WESTCHESTER FIRE INSURANCE COMPANY
11/18/2010 PCF177973

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
STEPHEN F. PERNA
03/16/2007 PRN137759
THOMAS VINCENT PERNA
03/07/2006 PRN100128

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
THOMAS VINCENT PERNA PRN100128

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
24333

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 04:44:39 AM