black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

DOLORES A. KOZLOWSKI

PRODUCER NON-RESIDENT

License Number:
PRN181218
Status:
Active
First Licensure:
09/08/2010
Cancel Date:
None

Mailing:
NASHUA, NH 03062
Phone:
+1 (603) 875-1200
Email:
dolores@morinagency.com

History
License Type Start Date End Date
PRODUCER NON-RESIDENT 09/08/2010

Agency
Name Issue Date License Number Expiration Date Cancel Date
USI INS SERVICES LLC
 05/28/2013 AGN147905 01/12/2018
USI INSURANCE SERVICES OF NEW ENGLAND INC
 09/08/2010 AGN54606 12/31/2014

Employer
Name Issue Date License Number Expiration Date Cancel Date
ACADIA INSURANCE COMPANY
 11/02/2020 PCF35064 02/25/2022
ALLMERICA FINANCIAL ALLIANCE INSURANCE COMPANY
 10/22/2010 PCF75617 10/27/2015
ALLMERICA FINANCIAL BENEFIT INSURANCE COMPANY
 10/22/2010 PCF145893 01/11/2018
AMERICAN CASUALTY COMPANY OF READING PENNSYLVANIA
 05/06/2011 PCF358 01/30/2018
AMERICAN ZURICH INSURANCE COMPANY
 12/22/2010 PCF914 01/10/2018
ASSURANCE COMPANY OF AMERICA
 12/22/2010 PCF651 02/02/2015
CAMBRIDGE MUTUAL FIRE INSURANCE COMPANY
 10/15/2010 PCF396 01/11/2018
CITIZENS INSURANCE COMPANY OF AMERICA
 10/22/2010 PCF937 01/11/2018
CONTINENTAL CASUALTY COMPANY
 05/06/2011 PCF420 01/30/2018
CONTINENTAL INSURANCE COMPANY
 05/06/2011 PCF782 01/30/2018
CONTINENTAL WESTERN INSURANCE COMPANY
 11/02/2020 PCF673 02/25/2022
EMPLOYERS INSURANCE COMPANY OF WAUSAU
 10/20/2010 PCF434 01/15/2018
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
 01/26/2016 PCF868 01/10/2018
FIREMEN'S INSURANCE COMPANY OF WASHINGTON DC
 11/02/2020 PCF35141 02/25/2022
FIRST LIBERTY INSURANCE CORPORATION
 10/20/2010 PCF31779 01/15/2018
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
 03/12/2013 PCF445 01/17/2018
FOREMOST PROPERTY AND CASUALTY INSURANCE COMPANY
 03/12/2013 PCF37337 01/17/2018
FOREMOST SIGNATURE INSURANCE COMPANY
 03/12/2013 PCF176307 01/17/2018
FRANKENMUTH INSURANCE COMPANY
 02/20/2019 PCF83684 12/29/2023
GRAPHIC ARTS MUTUAL INSURANCE COMPANY
 11/21/2019 PCF453 08/28/2023
THE HANOVER INSURANCE COMPANY
 10/22/2010 PCF712 01/11/2018
HARLEYSVILLE INSURANCE COMPANY
 10/21/2010 PCF129870 03/13/2019
HARLEYSVILLE MUTUAL INSURANCE COMPANY
 10/21/2010 PCF74622 05/01/2012
HARLEYSVILLE PREFERRED INSURANCE COMPANY
 10/21/2010 PCF128998 03/13/2019
HARLEYSVILLE WORCESTER INSURANCE COMPANY
 10/21/2010 PCF908 03/13/2019
HARTFORD CASUALTY INSURANCE COMPANY
 03/16/2011 PCF967 01/27/2014
LIBERTY INSURANCE CORPORATION
 10/20/2010 PCF999 01/15/2018
LIBERTY MUTUAL FIRE INSURANCE COMPANY
 10/20/2010 PCF330 01/15/2018
LIBERTY MUTUAL INSURANCE COMPANY
 10/20/2010 PCF331 01/15/2018
LM INSURANCE CORPORATION
 10/20/2010 PCF31778 01/15/2018
MAIN STREET AMERICA ASSURANCE COMPANY
 12/08/2015 PCF997
MAIN STREET AMERICA PROTECTION INSURANCE COMPANY
 04/25/2016 PCF235440
MARYLAND CASUALTY COMPANY
 12/22/2010 PCF500 02/02/2015
MASSACHUSETTS BAY INSURANCE COMPANY
 10/22/2010 PCF505 01/11/2018
MERRIMACK MUTUAL FIRE INSURANCE COMPANY
 10/15/2010 PCF79 01/11/2018
MMG INSURANCE COMPANY
 11/06/2010 PCD5 12/26/2018
MMG INSURANCE COMPANY
 11/22/2019 PCD5
MOTORISTS COMMERCIAL MUTUAL INSURANCE COMPANY
 09/21/2020 PCF46
NATIONAL FIRE INSURANCE COMPANY OF HARTFORD
 05/06/2011 PCF523 01/30/2018
NATIONWIDE GENERAL INSURANCE COMPANY
 12/08/2018 PCF30 03/13/2019
NATIONWIDE MUTUAL FIRE INSURANCE COMPANY
 12/08/2018 PCF31 03/13/2019
NATIONWIDE MUTUAL INSURANCE COMPANY
 04/25/2012 PCF32 03/13/2019
NGM INSURANCE COMPANY
 12/08/2015 PCF86
NORTHERN ASSURANCE COMPANY OF AMERICA
 12/09/2010 PCF1020 08/01/2013
NORTHERN INSURANCE COMPANY OF NEW YORK
 12/22/2010 PCF501 02/03/2015
PATRIOT INSURANCE COMPANY
 02/20/2019 PCD208274 12/29/2023
SAFECO NATIONAL INSURANCE COMPANY
 02/27/2017 PCF248658 01/15/2018
TRANSPORTATION INSURANCE COMPANY
 05/06/2011 PCF601 01/30/2018
TRI STATE INSURANCE COMPANY OF MINNESOTA
 11/02/2020 PCF146321 02/25/2022
UNION INSURANCE COMPANY
 11/02/2020 PCF141739 02/25/2022
UTICA MUTUAL INSURANCE COMPANY
 11/21/2019 PCF610 08/28/2023
VALLEY FORGE INSURANCE COMPANY
 05/06/2011 PCF612 01/30/2018
WAUSAU BUSINESS INSURANCE COMPANY
 10/20/2010 PCF47449 03/31/2015
WAUSAU UNDERWRITERS INSURANCE COMPANY
 10/20/2010 PCF833 08/31/2015
ZURICH AMERICAN INSURANCE COMPANY
 01/26/2016 PCF61397 01/10/2018

Authority
Description Issue Date Termination Date Status
CASUALTY 09/08/2010 Active
PROPERTY 09/08/2010 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
6377977

Other Addresses
Address Type
NASHUA, NH 03062
 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: 05/13/2025 06:31:15 PM