black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

CASSIDY FORR

PRODUCER NON-RESIDENT

License Number:
PRN425123
Status:
First Licensure:
07/28/2022
Cancel Date:
None

Mailing:
PITTSBURGH, PA 15211
Phone:
+1 (814) 889-8327
Fax:
+1 (814) 889-8327
Email:
cassidy.forr@adp.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 07/28/2022

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
THE CHARTER OAK FIRE INSURANCE COMPANY
08/16/2022 PCF403
EMPLOYERS ASSURANCE COMPANY
08/01/2022 PCF285638
EMPLOYERS COMPENSATION INSURANCE COMPANY
08/01/2022 PCF285639
EMPLOYERS PREFERRED INSURANCE COMPANY
08/01/2022 PCF285637
THE PHOENIX INSURANCE COMPANY
08/16/2022 PCF557
SENTINEL INSURANCE COMPANY LTD
03/31/2025 PCF84269
THE TRAVELERS INDEMNITY COMPANY OF AMERICA
08/16/2022 PCF585
TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA
08/16/2022 PCF711

Authority

Description Issue Date Termination Date Status
CASUALTY 07/28/2022 Active
PROPERTY 07/28/2022 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
20402310

Other Addresses

Address Type
1000 GSK DR
CORAOPOLIS, PA 15108-1310
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: 10/22/2025 05:04:56 AM