black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

MID-CONTINENT ASSURANCE COMPANY

INSURANCE COMPANY

License Number:
PCF297697
Status:
First Licensure:
11/07/2017
Cancel Date:
None
Renewal Date:
08/10/2025
NAIC Code:
15380

Street Location:
1437 S BOULDER AVE
TULSA, OK 74119-3609
Mailing:
ATTN STEPHEN C. BERAHA
PO BOX 1409
TULSA, OK 74101-1409
Phone:
+1 (918) 587-7221
Fax:
+1 (918) 588-1253
Email:
sberaha@gaic.com

History

License Type Start Date End Date
INSURANCE COMPANY 11/07/2017 08/10/2025

Employee

Name Issue Date License Number Expiration Date Cancel Date
ALLIANT INSURANCE SERVICES INC
03/27/2018 AGN91433
APPALACHIAN UNDERWRITERS INC
03/27/2018 AGN101832
ARTHUR J GALLAGHER RISK MANAGEMENT SERVICES LLC
03/27/2018 AGN37963
BRECKENRIDGE INS SERVICES LLC
04/16/2025 AGN195510
STEVEN MABRY CLEVELAND
03/27/2018 PRN75375
DEMPSEY & SIDERS AGENCY INC
08/25/2021 AGN39562
TIMOTHY WEYLAND DRISKILL
03/27/2018 PRN281099
INSURANCE CANOPY LLC
03/27/2018 AGN277416
INSURICA INS MANAGEMENT NETWORK OF TULSA LLC
03/27/2018 AGN281210
LYNN MARCHBANK
10/15/2019 PRN330643
CHRISTOPHER ALLEN MONROE
04/04/2018 PRN152015
TREVOR SCOTT PIERCE
04/16/2025 PRN337556
DARYLE EDWIN STAFFORD JR
03/27/2018 PRN196578
STANLEY T. SZCZUREK
03/27/2018 PRN169067
VERACITY INSURANCE SOLUTIONS LLC
03/27/2018 AGN188261
MATTHEW WEISSMAN
08/25/2021 PRN264703

Supervised Entity

None.

Authority

Description Issue Date Termination Date Status
INLAND MARINE 11/07/2017 Active
OTHER LIABILITY 11/07/2017 Active
PRODUCTS LIABILITY 11/07/2017 Active
AUTO LIABILITY 11/07/2017 Active
AUTO PHYS DAMAGE 11/07/2017 Active

Contacts

Type Contact
SERVICE OF PROCESS UNITED AGENT GROUP INC
MERRILLS WHARF
254 COMMERCIAL ST STE 245
PORTLAND, ME 04101-4899
Phone: +1 (561) 508-5033
Fax: +1 (561) 694-1639
Email: govdocs@unitedagentgroup.com
PRODUCER LICENSING CONTACT ALISHA THOMPSON
ALISHA THOMPSON
PO BOX 1409
TULSA, OK 74101-1409
Phone: +1 (918) 588-1251
Email: aothompson@mcg-ins.com

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN)

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: 05/23/2025 07:34:32 PM