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DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

DAVID MEDINA

PRODUCER NON-RESIDENT

License Number:
PRN201433
Status:
First Licensure:
03/28/2012
Cancel Date:
None

Mailing:
YONKERS, NY 10704
Phone:
+1 (617) 832-1300
Fax:
+1 (855) 242-7584
Email:
dmedina@homesite.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 03/28/2012

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN MODERN HOME INSURANCE COMPANY
09/08/2016 PCF808
AMERICAN MODERN PROPERTY & CASUALTY INSURANCE COMPANY
10/20/2018 PCF234561
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
03/03/2015 PCF445
HOMESITE INSURANCE COMPANY OF THE MIDWEST
04/10/2012 PCF116371

Authority

Description Issue Date Termination Date Status
CASUALTY 03/28/2012 Active
PROPERTY 03/28/2012 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
9480092

Other Addresses

Address Type
1 FEDERAL ST STE 400
BOSTON, MA 02110-2003
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: 04/01/2026 08:03:28 AM