black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

PREMIER SHIELD INSURANCE, LLC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN333884
Status:
First Licensure:
07/03/2019
Cancel Date:
None
Renewal Date:
04/01/2025

Street Location:
482 SOUTHBRIDGE ST STE 211
AUBURN, MA 01501-2468
Mailing:
482 SOUTHBRIDGE ST STE 211
AUBURN, MA 01501-2468
Phone:
+1 (774) 847-7746
Fax:
+1 (774) 855-6820
Email:
premiershieldinsurance@gmail.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 07/03/2019 04/01/2025

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN ECONOMY INSURANCE COMPANY
07/25/2022 PCF363
BRISTOL WEST INSURANCE COMPANY
03/01/2021 PCF78370
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
01/29/2021 PCF445
NETHERLANDS INSURANCE COMPANY
07/10/2019 PCF827 05/09/2024
PEERLESS INSURANCE COMPANY
07/10/2019 PCF548
PROGRESSIVE NORTHERN INSURANCE COMPANY
08/21/2019 PCF51006
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
08/01/2019 PCF27738
SAFECO NATIONAL INSURANCE COMPANY
07/10/2019 PCF248658 11/10/2023

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
JONATHAN M. ANDERSON
06/06/2023 PRN257961
BRIAN T. PLAIN
07/03/2019 PRN257066

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
JONATHAN M. ANDERSON PRN257961

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
17991174

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: 06/28/2025 05:52:16 AM