black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

MARK A. DI PERNO

PRODUCER NON-RESIDENT

License Number:
PRN176150
Status:
First Licensure:
03/27/2010
Cancel Date:
None

Mailing:
LIGHTHOUSE POINT, FL 33064
Phone:
+1 (518) 420-9518
Email:
mark@sportinsurance.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 03/27/2010

Agency

Name Issue Date License Number Expiration Date Cancel Date
SPORTS AND SPECIAL EVENT INS AGENCY
03/23/2017 AGN215352
SPORTUNDERWRITERS INC.
09/24/2019 AGN339315

Employer

Name Issue Date License Number Expiration Date Cancel Date
AXIS INSURANCE COMPANY
11/02/2020 PCF134278
COLONY SPECIALTY INSURANCE COMPANY
03/24/2020 PCF171994
GREAT AMERICAN INSURANCE COMPANY
06/14/2021 PCF764
HARTFORD FIRE INSURANCE COMPANY
10/16/2024 PCF464
HARTFORD LIFE & ACCIDENT INSURANCE COMPANY
10/31/2024 LHF193
UNITED STATES FIRE INSURANCE COMPANY
10/30/2014 PCF101256

Authority

Description Issue Date Termination Date Status
CASUALTY 03/27/2010 Active
HEALTH 07/19/2019 Active
LIFE 03/27/2010 Active
PROPERTY 03/27/2010 Active
INDEPENDENT PRODUCER 03/27/2010 09/28/2011 Terminated

Responsible For

Name License Number
SPORTS AND SPECIAL EVENT INS AGENCY AGN215352
SPORTUNDERWRITERS INC. AGN339315

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
8497377

Other Addresses

Address Type
2047 SARANAC AVE STE 201
LAKE PLACID, NY 12946-1157
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: 05/15/2025 07:36:15 PM