black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

NATIONAL CASUALTY COMPANY

INSURANCE COMPANY

License Number:
PCF85
Status:
First Licensure:
10/24/1906
Cancel Date:
None
Renewal Date:
08/10/2025
NAIC Code:
11991

Street Location:
18700 N HAYDEN RD
SCOTTSDALE, AZ 85255-6741
Mailing:
1 W NATIONWIDE BLVD # 1-14-301
COLUMBUS, OH 43215-2752
Phone:
+1 (614) 249-1545
Fax:
+1 (480) 365-5109
Email:
finrpt@nationwide.com

History

License Type Start Date End Date
INSURANCE COMPANY 03/01/1990 08/10/2025

Employee

Name Issue Date License Number Expiration Date Cancel Date
LOWELL J. ACKERMAN
05/23/2017 PRN270470
ALLIANT INSURANCE SERVICES HOUSTON LLC
10/31/2017 AGN78973
ALLIANT INSURANCE SERVICES INC
07/22/2015 AGN91433
BETHANN ALWINE
07/07/2014 PRN212786
AMWINS NATIONAL TRANSPORTATION UNDERWRITERS INC
11/14/2008 AGN147607
ANDERSON & CATANIA SURETY SERVICES LLC
11/05/2014 AGN236126
DARREN JOHN ANDERSON
05/06/2025 PRN228732
ARTHUR J GALLAGHER RISK MANAGEMENT SERVICES LLC
02/26/2015 AGN37963
ALEX FERNANDO ARTILES
03/25/2025 PRN374071
ASSUREDPARTNERS NL LLC
02/05/2018 AGN193825
ASSUREDPARTNERS OF TEXAS, LLC
07/10/2019 AGN314744
JACLYN AVELAR
04/14/2022 PRN226321
YAZDAN AZAR
12/15/2016 PRN279365
MARK V. BAECHLE
04/27/2015 PRN123857
WOODROW M. BAIRD
07/21/2015 PRN48846
BRENT ERIC BALDWIN
07/10/2019 PRN266992
CHRISTOPHER BALL
01/23/2025 PRN416472
CARRIE RENEE MITCHELL BALMER
11/04/2014 PRN143587
ANTHONY G. BALZANO
04/02/2018 PRN169783
JEFFERY BARTLETT
10/27/2016 PRN277649
AMANDA NICOLE BAXENDALE
09/10/2019 PRN268514
MARK A. BECK
12/22/2010 PRN27886
YVONNE PATRICIA BELLERIVE
12/03/2007 PRN145555
CHRISTINA L. BELTZ
10/02/2014 PRN235566
GORDON V T BEWICK
02/18/1998 PRN50172
MICHELLE BIELBY
10/25/2021 PRN400844
MICHAEL J. BIGGER
12/04/2009 PRN154235
ALYCIA JAYNE BLANCHARD
04/26/2022 PRN416977
CRISTIN BLATTENBERGER
04/07/2015 PRN236508
LINDA SHARON BLECHMAN-BUSCH
10/23/2007 PRN94606
ANDREW JAMES BLY
11/16/2017 PRN294798
RICHARD BOWERS
10/09/2017 PRN295344
ROBERT KELLY BOYD
08/16/2019 PRN336158
NICHOLAS LIVIO BOZZO
03/17/2010 PRN174003
ALLISON R. BRADLEY
06/26/2019 PRN333269
BETH A. BREWER
05/21/2009 PRN165727
KEVIN W. BROUGHER
06/05/2013 PRN215846
BRUNSWICK INS AGCY INC
09/06/2018 AGN131711
AMY BURGESS
11/04/2014 PRN223677
SHARON DIANNE BURNS
04/10/2019 PRN328025
DANIEL CHRIS CABANA
07/21/2009 PRN166445
BARBARA ANN CAMPELLONE
05/10/2019 PRN328004
MEGAN CARROLL
09/06/2017 PRN289000
WAYNE HANLEY CARTER III
02/12/2004 PRN72206
BLANCA CASAS
06/26/2019 PRN295901
MANUEL CASTANEDA
05/30/2014 PRN231048
ROSILYN CAZARES
05/11/2022 PRN279148
ELIZABETH PARKE CERVINI
02/19/2016 PRN259460
DILSA GONZALEZ CHAMU
09/23/2021 PRN219383
FRANKLIN DAVID CHAPPELL
10/22/2020 PRN365857
JUSTINE CHAVEZ
02/17/2017 PRN282422
JOHN NICHOLAS COLIS
03/01/1995 PRN41549
NATHAN COLLINS
05/29/2019 PRN288108
ROBERT BRUCE COLTRAIN
06/28/2019 PRN333171
LISA LOUISE COOPER
06/21/2016 PRN151515
GEOFFREY CRATER
03/01/2013 PRN206997
CROUSE AND ASSOC INS SERVICES OF NORTHERN CALIFORNIA INC
02/11/2019 AGN234132
MARCELLA K. CROYLE
11/11/2020 PRN363350
ELOISA CRUZ CUMMINGS
07/02/2007 PRN78386
KATHERINE CUNNINGHAM
09/15/2016 PRN256234
FRANCIS CURRAN
02/16/2017 PRN124973
GAYLE LESLIE CZEIZLER
06/05/2007 PRN52435
CHRISTOPHER SCOTT DALEY
08/14/2019 PRN239103
KATHERINE DALEY
05/04/2021 PRN295697
RAYMOND DARIN
02/24/2017 PRN252625
NICHOLAS ANTHONY DAVEY
11/17/2011 PRN196395
CARLA ELAINE DAVIS
07/17/2007 PRN136068
KEVIN DAWSON
03/23/2022 PRN178828
KIERAN T. DEMPSEY
12/29/2021 PRN218263
JOHN MICHAEL DIMUCCI
07/02/2007 PRN132105
DONA MARIE DINIUS
07/16/2007 PRN77390
ROSSYVETTE DODGE
06/09/2020 PRN354638
ADRIANA PATRICIA DOMINGUEZ
09/27/2019 PRN338348
HEIDI LYNN DRAPER
09/20/2023 PRN463976
DUAL COMMERCIAL LLC
04/02/2015 AGN216847
CLINTON DUMAS
11/29/2021 PRN138166
DIANA DURON
11/04/2014 PRN225644
DVM INSURANCE AGENCY
10/01/1997 AGN27317
E RISK SERVICES LLC
11/18/2009 AGN168476
ANDREW M. EASTON
12/15/2021 PRN243301
MICHELE MARIE EDISS
04/01/2008 PRN150271
JENNIFER EILANDER
04/13/2015 PRN245866
GARY EKLUND
03/31/2015 PRN123712
KASSANDRA ELIZARRARAZ
03/25/2022 PRN277632
JESUS ALBERT ESCOBEDO
04/30/2021 PRN381669
DOMINIC JOSEPH ETCHEBERRIA II
03/24/2010 PRN173610
EUCLID INSURANCE SERVICES INC
10/01/1997 AGN41548
WILLIAM THOMAS EVANS
11/01/2024 PRN287102
EXCEL BONDS & INSURANCE SERVICES INC
04/11/2016 AGN84924
FALVEY CARGO UNDERWRITING LTD
03/23/2020 AGN218496
JOHN M. FALVEY
03/23/2020 PRN177827
JOHN J. FEITELBERG
08/16/2019 PRN64228
FINANCIAL & PROFESSIONAL RISK SOLUTIONS INC
03/23/2001 AGN37449
FIRST INSURANCE GROUP LLC
11/02/2018 AGN116326
FIRST LIGHT PROGRAM MGR INC
10/19/2022 AGN165581
JOSEPH FITZGIBBON
04/17/2015 PRN247928
KEVIN FLANAGAN
06/19/2017 PRN288456
KYLE FOLTZ
12/20/2022 PRN250605
STEVEN RAY FOSTER
03/24/2015 PRN218018
ELINOR FOURLICHT
08/25/2011 PRN131138
KIMBERLY SUE FRITZ
08/27/2014 PRN236021
TERICA MONET FUNES
03/25/2010 PRN174275
GARY FUNG
07/29/2022 PRN425245
LUCAS GALLON
04/03/2024 PRN480782
ANGELICA GARCIA
06/12/2014 PRN233463
JACOB GEYER
01/19/2023 PRN436011
JENNIFER ANNE GIVEN
09/25/2021 PRN397226
A BRYAN GLOTZBACH
03/23/2010 PRN172708
LISA SUE GOELZ
06/23/2017 PRN125608
ARIEL GONZALEZ
09/22/2022 PRN293589
DAVID BRIAN GOODNIGHT
03/29/2017 PRN149969
MICHAEL GRAMM
12/01/2022 PRN351365
STEVEN RICHARD GREEN
06/18/2018 PRN311100
TOMMY GREEN
05/28/2015 PRN245868
DONNA MARIE GRETH
05/27/2022 PRN215849
DANIEL GUARNERI
07/17/2023 PRN456450
CYNTHIA GERTRUDIS GUZICK
07/09/2014 PRN234443
PHILIP STEPHEN HAGAN II
12/28/2011 PRN113345
PAUL V. HALTER
01/22/2015 PRN149375
KERRI ANN HAMILTON
07/10/2007 PRN47282
MEGHAN EILEEN HAMILTON
08/22/2023 PRR460092
SEAN P. HARRIGAN
01/22/2004 PRN59358
KAYLA HARRIS
09/26/2016 PRN254818
PHILIP AUGUST HARTMAN
07/02/2007 PRN56340
CARTER HASAN
06/06/2016 PRN268647
BRIAN D. HASTON
01/30/2018 PRN188282
CHELSEA HAWBAKER
09/20/2016 PRN257548
HEALTH PLAN INTERMEDIARIES HOLDINGS LLC
10/08/2012 AGN205501
CARLOS HERNANDEZ
05/29/2019 PRN272834
DAX DAVID HOFF
07/22/2019 PRN334648
BERNICE HOLLOWAY
07/16/2009 PRN164174
JOYCE MARIE HOUGHTON
11/01/2024 PRN237364
HUB INTERNATIONAL NEW ENGLAND LLC
08/16/2019 AGN38279
JENNIFER M. HUDSON
04/24/2009 PRN96594
HULL & COMPANY LLC
10/04/2011 AGN154954
TIMOTHY LEE HUMPHREY
02/04/2016 PRN263527
DAVID JOEL HURLEY
04/20/2018 PRN307886
YESENIA HURTADO
02/08/2018 PRN254413
CHRISTINA MICHELLE HUTCHINS
10/01/2014 PRN239167
IDELIC INSURANCE AGENCY, LLC
12/01/2022 AGN433310
KENNETH RAY ILES
03/19/2010 PRN164852
INNOVATION GROWTH PARTNERS SPECIALTY, LLC
10/25/2005 AGN40720
IOA NATIONAL INC
09/18/2020 AGN195651
ISR MARINE INS SERVICES LLC
04/24/2018 AGN225019
DEANNA JOHANSEN
04/13/2015 PRN236788
ANTHONY L. JOHNSON
10/19/2022 PRN152662
MICHAEL LAWRENCE JOHNSON
08/20/2020 PRN290428
TODD JOHNSON
03/10/2021 PRN332325
DEBRA A. JONES
08/13/2012 PRN180676
MATTHEW JONES
04/29/2009 PRN163933
K&K INSURANCE GROUP INC
06/22/2007 AGN17002
NICHOLE RENEE KARST
07/10/2007 PRN102549
ALAN JAY KAUFMAN
12/16/2002 PRN87690
SEAN KIM
04/25/2016 PRN266959
KINETICCOMP LLC
11/19/2021 AGN389424
KELLEY RENE KIRBY
08/02/2019 PRN334282
D-ANN KLEIDOSTY
03/31/2015 PRN189851
KIARASH KORKI
03/10/2015 PRN247253
WILLIAM T. KRUMM
02/05/2015 PRN138999
THE KYES AGENCY INC
11/19/2013 AGR2428
HOLLIE J. LAMLE
08/19/2010 PRN179561
DEMETRA LAUGHLIN
02/08/2023 PRN197556
LEE & MASON FINANCIAL SERVICES INC
10/23/2007 AGN47168
STEPHANIE ELAINE LEE
08/21/2024 PRN326371
MICHELLE MATRAHAZI LEVINE
03/25/2010 PRN174279
RACHELLE LINDSAY
05/05/2021 PRN381699
PRISCILLA CELIA LOPEZ
11/17/2017 PRN298318
REBECCA ANNE LOPEZ
11/05/2014 PRN241395
IHAB LOUBIEH
08/19/2015 PRN237123
CHANDRA LOUIS
05/22/2023 PRN452002
MELISSA LOVELY
07/10/2019 PRN333092
MICHAEL JOSEPH LUCERO
10/22/2015 PRN258449
SCOTT EDWARD LUNSFORD
07/17/2007 PRN48548
M J INSURANCE INC
02/23/2016 AGN66792
SHERI ANN MACHAT
08/16/2012 PRN140758
CYNTHIA MARROQUIN
03/20/2025 PRN452175
MARSH USA LLC
03/25/2015 AGN37019
KARLA SANDY MARTINEZ
11/20/2017 PRN298438
MAXIMUM INDEPENDENT BROKERAGE LLC
02/11/2019 AGN101625
KEVIN JAMES MC ELWEE
03/22/2021 PRN377476
DANA MCCASKEY
08/25/2015 PRN174686
AMY MICHELLE MCDONALD
02/24/2016 PRN264397
DOUGLAS MCELVEEN
03/22/2017 PRN210161
THOMAS B. MCGOWAN IV
01/30/2025 PRN128298
MCGRIFF INSURANCE SERVICES LLC
02/22/2016 AGN54463
WILLIAM T. MCKERNAN
01/31/2025 PRN184425
ASHLEY MCKONE
06/26/2019 PRN294858
SARAH KELLY MCLEOD
09/24/2024 PRN348270
MAUREEN MCNEILL
04/15/2019 PRN328018
JOSEPH MESSINA
02/13/2019 PRN91577
METHOD INSURANCE SERVICES, LLC
11/30/2023 AGN353890
CHERYL LYNN MEYERS
05/19/2009 PRN40319
COREY G. MILLER
09/13/2019 PRN338339
GLENN E. MILLER
06/27/2022 PRN417380
MARIA JEANETTE MILLER
05/25/2011 PRN189724
KATHLEEN M. MITCHELL
06/22/2016 PRN168686
DAVIS DONALD MOORE
11/29/2023 PRN76867
JAMES IRWIN MOORE
11/18/2015 PRN48761
JONATHAN ELLIS MOORE
04/25/2020 PRN208631
CARA MORELAND
07/13/2012 PRN177830
DANIELLE CHRISTA MUNOS
06/21/2023 PRN454328
DANIEL ALAN MYER
06/11/2008 PRN152464
N2G WORLDWIDE INSURANCE SERVICES, LLC
05/14/2020 AGN351163
NAMIC INSURANCE AGENCY INC
10/01/1997 AGN26146
NBS INSURANCE AGENCY INC
04/04/2019 AGN49849
JAMES B. NELSON
10/05/2015 PRN107023
MATTHEW J. NEUENS
05/21/2022 PRN419133
NFP PROPERTY & CASUALTY SERVICES INC
11/30/2015 AGN50943
RONALD LEE NORTON
04/22/2009 PRN39901
KLAUS ANDRES NOWAKOWSKI
12/28/2011 PRN197875
RICHARD P. NOWELL
05/03/2006 PRN126569
NSM INSURANCE SERVICES LLC
01/31/2025 AGN99665
ONE80 INTERMEDIARIES INC
07/29/2022 AGN174781
ONI RISK PARTNERS INC
09/05/2019 AGN95926
KARLA ORELLANA
11/07/2016 PRN277823
MICHAEL ANTHONY ORLANDO
12/01/1997 PRN20461
ELAINE ORTEGA
03/25/2022 PRN235209
BRIAN WILLIAM OSBORN
05/25/2018 PRN309981
ALICIA OSTLIE
09/12/2016 PRN258690
ERIC PADAGS
06/12/2008 PRN152751
JOMARIE PAGLIA-MULCAHEY
10/08/2012 PRN187341
KEVIN TODD PATCHEAK
10/19/2005 PRN119192
SEAN MARTIN PATTWELL
05/30/2006 PRN92146
PDP GROUP INC
01/22/2004 AGN33871
PEACHTREE SPECIAL RISK BROKERS LLC
08/09/2018 AGN107296
DONALD PERLSTEIN
01/30/2019 PRN272665
MORGAN MARIE PERRIN
05/11/2017 PRN266196
CHRISTOPHER LOUIS PESCE
07/29/2022 PRN96367
MOLLIE PETERS
09/26/2016 PRN256203
ERIK PETERSEN
10/20/2017 PRN296313
CHERYL LYNETTE PETTIBONE
07/10/2007 PRN54600
PIONEER SPECIAL RISK INSURANCE SERVICES INC
09/14/2020 AGN167148
JEREMY ANSON POLICARPIO
09/04/2022 PRN336378
SHERI MARIE PONTOLILLO
04/25/2025 PRN168610
CRISTINA LEE POULSEN
04/07/2020 PRN351983
ROBERT SEAN RAMIREZ
06/17/2019 PRN332578
JEANA LEE RAMOS
08/20/2020 PRN234390
RCM&D INC.
04/04/2016 AGN52051
KEVIN RE
09/03/2015 PRN188487
EMILY REED
11/04/2014 PRN225750
KEVIN MICHAEL RENTCH
10/20/2005 PRN119353
BARBARA RENTSCHLER
07/03/2007 PRN138688
JOSEPH GORDON REPASS
08/14/2007 PRN39022
ARTURO REVELES
09/08/2020 PRN360454
ANGELA MARIE RHOADES
10/15/2013 PRN96112
SHELLEY RICHARDS
08/11/2006 PRN129363
RISK EXCHANGE INSURANCE SERVICES, LLC
08/07/2019 AGN170617
RISK PLACEMENT SERVICES INC
09/03/2009 AGN62458
SAVANNAH N. RITZ
08/25/2021 PRN392999
ANTHONY RODRIGUEZ
12/09/2021 PRN405459
MELISSA MARIE ROMAN
05/26/2010 PRN176942
MAYRA ROMERO MUNOZ
05/17/2019 PRN281998
MELODY ROSE
03/25/2025 PRN243871
DAVID C. ROSENBERG
02/22/2016 PRN42628
MELISSA LINN ROSS
04/22/2009 PRN77367
RSG SPECIALTY LLC
11/05/2024 AGN176560
RSG UNDERWRITING MANAGERS LLC
08/20/2020 AGN117866
JOSE MARIA RUIZ
11/20/2009 PRN160137
OMAR SAENZ
04/17/2015 PRN224345
DANIEL ROBERT SANCHEZ
02/16/2010 PRN168973
STEVEN GEORGE SCHAFER
11/19/2021 PRN388214
KARDEEA SCOTT
09/26/2016 PRN238445
JUSTIN RAY SETSER
09/14/2021 PRN131922
AMANDA MARIE SIMS
07/09/2021 PRN228005
LARRY DEAN SLEGH
07/22/2019 PRN188603
ROBERT EDWIN SLONIN
04/15/2022 PRN415943
PATRICK SHEFFIELD SMALL
07/24/2024 PRN49704
SMITH BROTHERS INSURANCE LLC
09/17/2015 AGN42811
TODD A. STEIN
09/04/2018 PRN131686
STERLING & STERLING LLC
04/11/2013 AGN37483
DAVID A. STERLING
04/26/2013 PRN22990
KELBY STEUHM
01/20/2018 PRN291092
ADRIENNE STEVENSON
03/30/2015 PRN187618
JEFFREY STRASSNER
07/27/2015 PRN150719
MARY CADY SULLIVAN
09/25/2001 PRN77733
DANIEL ALBERT TAGUE
06/03/2021 PRN371724
CHAD THOMPSON
09/27/2022 PRN407908
MIRANDA LOUISE TOBIN
10/03/2024 PRN497477
PAUL M. TOMASI
04/17/2009 PRN136460
BIANCA TORRES
03/06/2024 PRN247728
ROBIN MARIE TOURNEY
07/16/2007 PRN117820
JOHN W. TRAVIS
07/07/2014 PRN214756
NATALIE TROFIMOFF
07/27/2015 PRN213267
PAIGE TURNER
04/28/2015 PRN123279
TIMOTHY WILLIAM TURNER
05/24/2023 PRN66875
UNUM INSURANCE AGENCY, LLC
04/25/2024 AGN481454
USI INS SERVICES LLC
05/21/2013 AGN147905
JON PAUL VALDEZ
12/10/2012 PRN208625
STEPHEN S. VAN WERT
08/02/2018 PRN167866
VANGUARD SPECIALTY, LLC
07/18/2018 AGN272820
VERITA CSG, INC.
09/08/2009 AGN22246
VICTOR INSURANCE MANAGERS LLC
12/16/2008 AGN32661
TIMOTHY VINCENT VITA
04/25/2024 PRN480621
STEPHANIE JO WALDRON
06/29/2010 PRN61011
PAMELA SUE WALKER
08/01/2007 PRN102548
SHERRY E. WASHINGTON
08/02/2007 PRN113182
CHAD ANTHONY WAYNE
03/01/2018 PRN304075
JOHN THOMAS WELTY
11/14/2024 PRN375575
BONNIE M. WERNIK-LEVINE
04/24/2018 PRN181358
CAROLYN WHEELER
03/02/2016 PRN117747
TIMOTHY WILBORN
01/25/2018 PRN188471
JAMES WILLIAMS
10/10/2014 PRN58221
ROBB CHRISTOPHER WILLIAMS
08/10/2018 PRN218305
WILLIS TOWERS WATSON MIDWEST INC
01/01/2020 AGN36667
WILLIS TOWERS WATSON SOUTHEAST INC
01/01/2020 AGN43301
WORLD INS ASSOC LLC
04/25/2025 AGN304312
WRIGHT SPECIALTY INSURANCE AGENCY LLC
05/01/2017 AGN157760
ROBERT WRIXON
09/04/2015 PRN164000
KRISTINA MARIE WYSS
06/01/2020 PRN351846
X S BROKERS INSURANCE AGENCY INC
05/26/1999 AGN49227
TONETTE YATSUHASHI
03/05/2021 PRN258640
EMILIE CATHERINE YOUNG
08/18/2015 PRN236476
BENJAMIN ZENDEJAS JR
03/01/2021 PRN351982
CHRISTIAN ZWINGEL
11/11/2024 PRN473160

Supervised Entity

None.

Authority

Description Issue Date Termination Date Status
HEALTH 03/01/1996 Active
FIRE 03/01/1996 Active
ALLIED LINES 03/01/1996 Active
FARMOWNERS MULTIPLE PERIL 03/01/1996 Active
HOMEOWNERS MULTIPLE PERIL 03/01/1996 Active
COMMERCIAL MULTIPLE PERIL 03/01/1996 Active
OCEAN MARINE 11/16/2009 Active
INLAND MARINE 03/01/1996 Active
EARTHQUAKE 03/01/1996 Active
WORKERS COMPENSATION 03/15/2010 Active
OTHER LIABILITY 03/01/1996 Active
PRODUCTS LIABILITY 03/01/1996 Active
AUTO LIABILITY 03/01/1996 Active
AUTO PHYS DAMAGE 03/01/1996 Active
SURETY 10/27/2008 Active
GLASS 03/01/1996 Active
BURGLARY AND THEFT 03/01/1996 Active
BOILER AND MACHINERY 03/01/1996 Active
CASUALTY 01/01/1901 03/01/1996 Terminated
HEALTH 01/01/1901 03/01/1996 Terminated
MARINE AND TRANSPORTATION 01/01/1901 03/01/1996 Terminated
PROPERTY 01/01/1901 03/01/1996 Terminated

Contacts

Type Contact
WORKERS COMPENSATION CLAIMS JASON TRYBULSKI
PO BOX 182079
COLUMBUS, OH 43218-2079
Phone: +1 (614) 450-0666
Email: trybuj1@nationwide.com
PRODUCER LICENSING CONTACT DONNA STEWART
DONNA STEWART
01-24-104
1 NATIONWIDE PLZ
COLUMBUS, OH 43215-2226
Phone: +1 (614) 677-4991
Email: billrnwl@nationwide.com
SERVICE OF PROCESS CORPORATION SERVICE COMPANY
45 MEMORIAL CIR
AUGUSTA, ME 04330-6400
Phone: +1 (800) 927-9800
Fax: +1 (302) 636-5454
Email: sop@cscglobal.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: 05/14/2025 04:59:42 AM