black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JAMI L. BLOUIN

PRODUCER NON-RESIDENT

License Number:
PRN353772
Status:
First Licensure:
05/09/2020
Cancel Date:
None

Mailing:
BANGOR, ME 04402
Phone:
+1 (603) 669-3218
Fax:
+1 (603) 645-4331
Email:
licensing@crossagency.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 05/09/2020

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
ACUITY A MUTUAL INSURANCE COMPANY
02/28/2022 PCF155357 12/20/2023
ACUITY A MUTUAL INSURANCE COMPANY
01/23/2024 PCF155357
EMPLOYERS MUTUAL CASUALTY COMPANY
05/02/2022 PCF432
GENERAL INSURANCE COMPANY OF AMERICA
06/01/2024 PCF447
OHIO CASUALTY INSURANCE COMPANY
06/01/2024 PCF73059
OHIO SECURITY INSURANCE COMPANY
05/06/2022 PCF200581
PROVIDENCE MUTUAL FIRE INSURANCE COMPANY
03/25/2024 PCF562
SELECTIVE INSURANCE COMPANY OF NEW YORK
05/02/2022 PCF437
UNION MUTUAL FIRE INSURANCE COMPANY
04/27/2022 PCF95
UNITED STATES FIRE INSURANCE COMPANY
03/16/2021 PCF101256 05/23/2022

Authority

Description Issue Date Termination Date Status
CASUALTY 05/09/2020 Active
PROPERTY 05/09/2020 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
8138911

Other Addresses

Address Type
1100 ELM ST
MANCHESTER, NH 03101-1500
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: 05/14/2025 02:31:00 AM