black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

FRONTLINE INS GROUP LLC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN276419
Status:
Active
First Licensure:
10/05/2016
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
2255 W TWAIN DR
ANTHEM, AZ 85086-2326
Mailing:
PO BOX 75548
PHOENIX, AZ 85087-1028
Phone:
+1 (866) 444-2462
Fax:
+1 (877) 541-9199
Email:
mike@weshop10.com

History
License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 10/05/2016 04/01/2027

Employer
Name Issue Date License Number Expiration Date Cancel Date
ALLIED INSURANCE COMPANY OF AMERICA
 07/19/2018 PCF216138
ALLIED PROPERTY AND CASUALTY INSURANCE COMPANY
 07/19/2018 PCF223935
AMCO INSURANCE COMPANY
 07/19/2018 PCF223938
THE AUTOMOBILE INSURANCE COMPANY OF HARTFORD, CONNECTICUT
 03/10/2017 PCF659 07/18/2018
BRISTOL WEST INSURANCE COMPANY
 09/27/2017 PCF78370
THE CHARTER OAK FIRE INSURANCE COMPANY
 11/04/2016 PCF403 07/18/2018
DEPOSITORS INSURANCE COMPANY
 07/19/2018 PCF223940
EMPLOYERS INSURANCE COMPANY OF WAUSAU
 02/03/2017 PCF434
ENCOMPASS INSURANCE COMPANY OF AMERICA
 09/12/2017 PCF90705 01/29/2024
FARMINGTON CASUALTY COMPANY
 11/04/2016 PCF995 09/15/2017
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
 09/27/2017 PCF445
MAIN STREET AMERICA ASSURANCE COMPANY
 12/21/2023 PCF997
MIDVALE INDEMNITY COMPANY
 12/21/2023 PCF79410
NATIONAL SPECIALTY INSURANCE COMPANY
 08/02/2023 PCF94585
NATIONWIDE AGRIBUSINESS INSURANCE COMPANY
 07/19/2018 PCF151937
NATIONWIDE ASSURANCE COMPANY
 10/05/2021 PCF38952
NATIONWIDE GENERAL INSURANCE COMPANY
 08/28/2018 PCF30
NATIONWIDE INSURANCE COMPANY OF AMERICA
 10/05/2021 PCF422
NATIONWIDE MUTUAL FIRE INSURANCE COMPANY
 08/28/2018 PCF31 01/01/2023
NATIONWIDE MUTUAL INSURANCE COMPANY
 07/19/2018 PCF32
NATIONWIDE PROPERTY & CASUALTY INSURANCE COMPANY
 10/05/2021 PCF151089
NETHERLANDS INSURANCE COMPANY
 02/03/2017 PCF827 05/10/2024
NGM INSURANCE COMPANY
 12/21/2023 PCF86
OHIO CASUALTY INSURANCE COMPANY
 10/15/2019 PCF73059
OHIO SECURITY INSURANCE COMPANY
 02/06/2017 PCF200581 11/10/2023
OHIO SECURITY INSURANCE COMPANY
 02/16/2024 PCF200581
PEERLESS INSURANCE COMPANY
 02/03/2017 PCF548
THE PHOENIX INSURANCE COMPANY
 11/04/2016 PCF557 07/18/2018
PROGRESSIVE NORTHERN INSURANCE COMPANY
 05/17/2019 PCF51006
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
 05/17/2019 PCF27738
SAFECO NATIONAL INSURANCE COMPANY
 02/03/2017 PCF248658 11/10/2023
ST. PAUL FIRE AND MARINE INSURANCE COMPANY
 12/14/2016 PCF575 09/15/2017
ST. PAUL GUARDIAN INSURANCE COMPANY
 12/14/2016 PCF701 09/15/2017
ST. PAUL MERCURY INSURANCE COMPANY
 12/14/2016 PCF576 09/15/2017
THE STANDARD FIRE INSURANCE COMPANY
 11/04/2016 PCF584 07/18/2018
STATE NATIONAL INSURANCE COMPANY INC.
 07/13/2020 PCF75933
TRAVELERS CASUALTY AND SURETY COMPANY
 11/04/2016 PCF348 09/15/2017
TRAVELERS CASUALTY INSURANCE COMPANY OF AMERICA
 11/04/2016 PCF935 09/15/2017
TRAVELERS COMMERCIAL CASUALTY COMPANY
 11/04/2016 PCF83507 09/20/2017
THE TRAVELERS HOME AND MARINE INSURANCE COMPANY
 03/10/2017 PCF56556 07/18/2018
THE TRAVELERS INDEMNITY COMPANY OF AMERICA
 11/04/2016 PCF585 07/18/2018
THE TRAVELERS INDEMNITY COMPANY OF CONNECTICUT
 11/04/2016 PCF435 07/18/2018
THE TRAVELERS INDEMNITY COMPANY
 11/04/2016 PCF602 07/18/2018
TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA
 11/04/2016 PCF711 09/15/2017

Affiliated Agent
Name Issue Date License Number Expiration Date Cancel Date
MICHAEL GEORGE JAKUBIK
 10/05/2016 PRN272359
KAYLA LAFONTAINE
 12/25/2024 PRN504329
DEBORAH KAE POWELL
 12/25/2024 PRN504330
AMANDA RIDGE
 12/25/2024 PRN504328

Branch Office

None.

Supervised Entity

None.

Responsible Individual
Name License Number
MICHAEL GEORGE JAKUBIK PRN272359

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
17940885

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 02:51:32 AM