black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

LISA A. DASCALOFF

PRODUCER NON-RESIDENT

License Number:
PRN143339
Status:
First Licensure:
08/11/2007
Cancel Date:
None

Mailing:
EXTON, PA 19341
Phone:
+1 (610) 280-9980
Fax:
+1 (610) 280-9985
Email:
triad@3hcs.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 08/11/2007

Agency

Name Issue Date License Number Expiration Date Cancel Date
TRIAD INSURANCE MANAGEMENT & SERVICES AGENCY INC
09/20/2007 AGN76584

Employer

Name Issue Date License Number Expiration Date Cancel Date
ACCELERANT NATIONAL INSURANCE COMPANY
11/15/2024 PCF83583
AMERICAN HALLMARK INSURANCE COMPANY OF TEXAS
05/12/2017 PCF166733 02/08/2024
GREAT AMERICAN ASSURANCE COMPANY
10/01/2007 PCF702 05/25/2021
GREAT AMERICAN INSURANCE COMPANY
10/01/2007 PCF764 05/25/2021
MITSUI SUMITOMO INSURANCE COMPANY OF AMERICA
11/08/2024 PCF82584
MITSUI SUMITOMO INSURANCE USA INC
11/08/2024 PCF1019
PRAETORIAN INSURANCE COMPANY
06/30/2010 PCF68207 11/06/2020
QBE INSURANCE CORPORATION
06/30/2010 PCF82307 11/06/2020
STARSTONE NATIONAL INSURANCE COMPANY
07/31/2012 PCF544

Authority

Description Issue Date Termination Date Status
CASUALTY 08/11/2007 Active
PROPERTY 08/11/2007 Active

Responsible For

Name License Number
TRIAD INSURANCE MANAGEMENT & SERVICES AGENCY INC AGN76584

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
9544940

Other Addresses

Address Type
117 JOHN ROBERT THOMAS DR
EXTON, PA 19341-2654
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: 06/16/2025 07:43:09 PM