black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

NATIONAL SPECIALTY INSURANCE COMPANY

INSURANCE COMPANY

License Number:
PCF94585
Status:
First Licensure:
04/25/2003
Cancel Date:
None
Renewal Date:
08/10/2027
NAIC Code:
22608

Street Location:
1900 L DON DODSON DR
BEDFORD, TX 76021-8222
Mailing:
1900 L DON DODSON DR
BEDFORD, TX 76021-8222
Phone:
+1 (817) 265-2000
Fax:
+1 (877) 295-3081
Email:
legalcompliance@statenational.com

History

License Type Start Date End Date
INSURANCE COMPANY 04/25/2003 08/10/2027

Employee

Name Issue Date License Number Expiration Date Cancel Date
ABD INS AND FINANCIAL SERVICES INC
02/08/2024 AGN209324
ACRISURE AEROSPACE PARTNERS INSURANCE SOLUTIONS, LLC
07/16/2025 AGN450440
AIPSO
02/22/2022 AGN404463
AK INSURANCE LLC
06/28/2022 AGR351692
ALLIANT INSURANCE SERVICES INC
08/25/2025 AGN91433
INDEEA AMBRIZ
05/03/2025 PRN494903
AMYNTA P&C, LLC
01/31/2017 AGN175563
ANIMALIA INSURANCE SERVICES INC.
08/02/2022 AGN421485
AON RISK SERVICES NORTHEAST INC
11/21/2025 AGN60204
APPALACHIAN UNDERWRITERS INC
01/23/2026 AGN101832
ARLINGTON ROE & CO INC
03/11/2026 AGN82076
ARTHUR J GALLAGHER RISK MANAGEMENT SERVICES LLC
06/20/2024 AGN37963
ASSOCIATION MEMBER BENEFITS ADVISORS, LLC
06/26/2023 AGN326323
ASSUREDPARTNERS AEROSPACE LLC
12/12/2025 AGN233096
AUTONOMY INSURANCE SERVICES, LLC
03/13/2024 AGN468766
EMAN S. BADR-WILDER
04/30/2025 PRN485298
DAVID ALLEN BAKER
03/29/2022 PRN187928
BANC INS AGENCY INC
06/21/2023 AGN168808
ERIC W. BARFIELD
09/03/2025 PRN409657
JEANNIE BARNES
01/10/2022 PRN157330
BRIAN MICHAEL BARRETT
12/27/2022 PRN296659
BASS UNDERWRITERS INC
12/08/2020 AGN129382
BINDRIGHT INSURANCE AGENCY, INC.
09/01/2023 AGN461769
CRAIG CAMERON BIRCH
05/22/2025 PRN448284
BOOST INSURANCE AGENCY INC
06/30/2020 AGN307928
BRIAN J. BRANNER
02/03/2022 PRN193311
BURNS & WILCOX LTD
03/13/2026 AGN81523
WALTER R. CAPELL
05/20/2021 PRN172509
JEFFREY CARL CHESKY
07/20/2023 PRN130196
EDWARD CHIANG
11/21/2023 PRN440334
JOSHUA CIPRI
06/18/2026 PRN518635
WILLIAM FORREST CLEAVE
01/28/2022 PRN85101
GINA CLEMENT
02/14/2022 PRN402866
COASTLINE RISK, INC.
09/28/2021 AGN364008
QUENTIN COOLEN
07/21/2022 PRN360014
COWBELL INSURANCE AGENCY LLC
12/10/2020 AGN370142
CRC INSURANCE SERVICES LLC
01/22/2026 AGN38700
KURT DEGROSZ
02/22/2024 PRN76201
KIERAN T. DEMPSEY
11/17/2025 PRN218263
DIVERSIFIED INSURANCE INDUSTRIES INC
06/04/2024 AGN114083
ERIC LEE DOVE
01/24/2022 PRN262973
JENNIFER DUPEY
12/13/2021 PRN286161
DUR-AMERICA BROKERAGE INC
10/25/2022 AGN195566
EAST COAST INSURANCE PROVIDERS
02/26/2024 AGN333777
LAUREN EDEN
05/01/2025 PRN481231
FALVEY CARGO UNDERWRITING LTD
07/12/2021 AGN218496
JOHN M. FALVEY
10/19/2022 PRN177827
DANIEL MICHAEL FEIGENBAUM
03/31/2021 PRN342603
BRAD FELLER
06/26/2023 PRN408167
CHRISTOPHER DAVID FERNANDEZ
08/05/2026 PRN445658
FISK MARINE INS INTERNATIONAL LLC
01/25/2024 AGN221764
FLAGSHIP INS AGENCY INC
03/30/2022 AGN248987
FORREST T JONES & COMPANY INC
09/26/2022 AGN19293
FOUNDATION RISK PARTNERS, CORP.
11/04/2025 AGN325124
ALISON FOXWORTH
12/03/2020 PRN349584
RACHEL FRANCIS
01/10/2022 PRN400457
FRONTLINE INS GROUP LLC
08/02/2023 AGN276419
FTP INC
02/03/2026 AGN161320
GEICO INSURANCE AGENCY LLC
10/03/2024 AGN42176
ASHLIN HADDEN
04/29/2022 PRN296721
JACOB DANIEL HILL
11/07/2022 PRN218459
HUB INTERNATIONAL NORTHEAST LIMITED
06/11/2024 AGN44687
HULL & COMPANY LLC
10/27/2023 AGN154954
INSCYT, LLC DBA FUSION MGA
03/21/2022 AGN412197
INSURANCE OFFICE OF AMERICA INC DBA VERGUARD INSURANCE SERVICES
06/26/2024 AGN206887
INTEGRATED SPECIALTY COVERAGES LLC
01/20/2026 AGN338750
INTERNET INS GROUP LLC
03/25/2022 AGN249267
EDWARD POWELL JACKSON
12/08/2020 PRN129159
JENCAP INSURANCE SERVICES INC
05/18/2026 AGN281605
JENCAP SPECIALTY INSURANCE SERVICES INC
01/23/2026 AGN293552
JIMCOR AGENCY INC
01/29/2026 AGN101618
NEWTON SAMUEL JOHNSON
08/23/2021 PRN27206
RICHARD F. JONES JR
09/23/2022 PRN129746
JOSEPH KRAR & ASSOC INC
01/20/2026 AGN283293
DAVID KAEHR
03/06/2026 PRN541876
AMIT KALRA
12/02/2021 PRN303484
KOMRONKHON KHODJAEV
03/19/2024 PRN466853
KING RISK PARTNERS, LLC
01/17/2025 AGN420896
MALCOLM CHARLES KING
01/16/2025 PRN419745
KNIGHT MANAGEMENT COMPANY LLC
10/01/2019 AGN337884
KNIGHT MANAGEMENT INS SERVICES LLC
04/10/2008 AGN152097
COURTNEY LYNNE KOLENDA
04/24/2023 PRN323398
BRIAN JASON KOO
12/09/2025 PRN468008
KRAFT LAKE INSURANCE AGENCY
09/28/2023 AGN147376
JAGANNATH YASHAVANT KUDALE
12/10/2020 PRN369760
LEE JORDAN LANFORD
01/12/2026 PRN232763
VIVIAN YAN LEE
10/03/2023 PRN387917
LAURA BETH LINSTRUM
06/22/2017 PRN287520
LOCALEDGE INSURANCE AGENCY, INC.
08/31/2022 AGN49849
LONDON UNDERWRITERS LLC
03/26/2021 AGN344101
CHARLES HARVEY LYDECKER
11/19/2025 PRN299814
ALEX MAFFEO
04/01/2020 PRN306553
MAKEFIELD AGENCY INC
10/26/2023 AGN217318
KULDEEP MALIK
07/30/2021 PRN385107
TRACY A. MARKOWSKI
11/17/2021 PRN337847
CHARLES MARKUS
11/01/2022 PRN380850
MARSH & MCLENNAN AGENCY LLC
06/26/2025 AGN171044
BLAKE JOSEPH MAY
05/14/2021 PRN356878
MCGILL GLOBAL RISK SOLUTIONS LLC
06/11/2024 AGN342476
JOE MCMULLEN
12/27/2022 PRN291685
STEPHEN MICHAEL MILLER
08/15/2023 PRN236899
KAREN JEAN MOORE
02/14/2025 PRN468290
SINEAD M. MURPHY
01/24/2023 PRN439264
MY INSURANCE AGENT, PLLC
05/03/2023 AGN434175
NAMIC INSURANCE AGENCY INC
11/10/2014 AGN26146
WILSON MATHEW NECHIKAT
05/13/2022 PRN361994
TRESA A. NEELAN
08/20/2024 PRN425488
NEMT INSURANCE, LLC
01/05/2021 AGN370593
NEWCOAST INSURANCE SERVICES, LLC
11/07/2022 AGN367938
NOVATAE RISK GROUP, LLC
10/20/2023 AGN301084
THOMAS GERARD O CONNOR
02/12/2021 PRN330806
MICHAEL PATRICK O DONNELL
01/14/2026 PRN298619
ONE80 INTERMEDIARIES INC
04/09/2024 AGN174781
OVERALLS INSURANCE SERVICES, LLC
09/09/2022 AGN399282
PATHPOINT, INC
04/07/2026 AGN308701
AMIT PATIL
12/05/2025 PRN531014
NELAMITH PIERRON
12/10/2021 PRN252541
PIK WEST INSURANCE AGENCY, LLC
01/07/2026 AGN493927
JASON W. QUAN
03/03/2025 PRN507916
RB JONES, INC.
11/22/2021 AGN338199
RHINO NEW YORK LLC DBA GREENLIGHT RENT
03/25/2020 AGN331880
LISA NGUYEN RIGGINS
12/04/2023 PRN467019
RISK PLACEMENT SERVICES INC
09/04/2026 AGN62458
BRIAN RODERICK
11/29/2023 PRN445286
ROKSTONE GLOBAL AVIATION RISKS LLC
01/12/2026 AGN473050
AMANDA ROSSI
09/09/2024 PRN432002
RSG SPECIALTY LLC
08/05/2025 AGN176560
ANN FRANCES RYAN
08/09/2019 PRN282930
SAFE HARBOR POLLUTION INS LLC
05/09/2018 AGN216824
MATTHEW SEVIER
01/11/2022 PRN264423
AMIT BHARATKUMAR SHAH
05/29/2019 PRN329942
SIAA XCHANGE, LLC
04/16/2026 AGN522846
ANTHONY SICILIANO
05/19/2025 PRN501562
JOHN HAROLD SMITH
04/16/2021 PRN320008
STERLING & STERLING LLC
01/14/2026 AGN37483
ALISON STEWART
09/20/2022 PRN411103
STRATUM INS AGENCY LLC
03/29/2022 AGN188002
TBA INSURANCE GROUP LTD
09/12/2017 AGN90807
TELAMON INS & FINANCIAL NETWORK LLC
01/20/2026 AGN212437
LAURA THORNTON
09/20/2023 PRN452254
TRACY TORO
11/21/2025 PRN132196
BRENT TODD TREDWAY
06/19/2026 PRN186866
TURBO INSURANCE GROUP, LLC
03/29/2022 AGN365883
USG INS SERVICES INC
05/03/2019 AGN230349
JOHN M. VARNER
01/11/2021 PRN197789
VERIFLY INS SERVICES LLC
05/03/2021 AGN269157
VERIST, INC.
10/23/2023 AGN22246
VIAFFINITY LLC
02/09/2024 AGN451213
VOLDICO LLC
02/05/2026 AGN281628
WAFFLE LABS INC
07/11/2022 AGN360657
WAGMO INSURANCE AGENCY LLC
11/23/2020 AGN351501
SAMUEL GREGORY WATTS
11/13/2017 PRN290325
LILY STANTON WHEATLEY
02/17/2025 PRN387918
WILLIS TOWERS WATSON NORTHEAST INC
06/23/2025 AGN74349
WILSON MATHEW NECHIKAT INSURANCE AGENCY INC
02/09/2022 AGN365908
JAY RICHARD WOLFBERG
08/19/2026 PRN160941
XCEEDANCE INSURANCE SERVICES LLC
01/23/2023 AGN441822
XPT PARTNERS LLC
01/22/2026 AGN359218
DANIEL YASHINSKY
03/23/2022 PRN364672
UNCHONG YOST
06/18/2021 PRN316392
JONATHAN ATA ZAHABIAN
09/06/2023 PRN394138
ZIONS INSURANCE AGENCY INC
08/26/2022 AGN109975

Supervised Entity

None.

Authority

Description Issue Date Termination Date Status
FIRE 04/25/2003 Active
ALLIED LINES 04/25/2003 Active
HOMEOWNERS MULTIPLE PERIL 01/13/2011 Active
COMMERCIAL MULTIPLE PERIL 01/13/2011 Active
OCEAN MARINE 01/13/2011 Active
INLAND MARINE 04/25/2003 Active
WORKERS COMPENSATION 01/13/2011 Active
OTHER LIABILITY 04/25/2003 Active
PRODUCTS LIABILITY 01/13/2011 Active
AUTO LIABILITY 04/25/2003 Active
AUTO PHYS DAMAGE 04/25/2003 Active
SURETY 11/14/2019 Active
GLASS 01/13/2011 Active
CREDIT 01/13/2011 Active

Contacts

Type Contact
WORKERS COMPENSATION CLAIMS SANDRA DAMBROSIO
NATIONAL SPECIALTY INSURANCE COMPANY
1900 L DON DODSON DR
BEDFORD, TX 76021-8222
Phone: +1 (800) 877-4567
Fax: +1 (877) 295-3081
Email: workcomp@statenational.com
PRODUCER LICENSING CONTACT LISA GLASS
1900 L DON DODSON DRIVE
BEDFORD, TX 76021
Phone: +1 (817) 265-2000
Fax: +1 (877) 295-3081
Email: licensing@statenational.com
SERVICE OF PROCESS NATIONAL REGISTERED AGENTS, INC
3 CHASE AVE
AUGUSTA, ME 04330-4525
Phone: +1 (888) 724-9870
Email: sop@agilelegal.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: 09/05/2026 12:52:01 PM