black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

OMS NATIONAL INSURANCE COMPANY RISK RETENTION GROUP

RISK RETENTION GROUP

Registration Number:
RRF29732
Status:
First Licensure:
08/06/1990
Cancel Date:
None
NAIC Code:
44121

Mailing:
ATTN ANN OSULLIVAN
425 N MARTINGALE RD STE 900
SCHAUMBURG, IL 60173-2206
Phone:
+1 (847) 653-8455
Email:
finance@omsnic.com

History

License Type Start Date End Date
RISK RETENTION GROUP 08/06/1990

Employee

Name Issue Date License Number Expiration Date Cancel Date
JEWELL PROFESSIONAL INSURANCE, LLC
10/04/2021 AGN398129
BRENDA M. JEWELL-SWARTZ
09/30/2021 PRN60678
FRANK ANDREW NILES
06/09/2015 PRR187691
THE RIVER AGENCY
06/13/2023 AGN452823
JENESSA ANN SHAHANDEH
05/19/2023 PRN451684
SEAN SULLIVAN
05/19/2023 PRN451692
USI INS SERVICES LLC
06/09/2015 AGN147905

Contacts

Type Contact
PRODUCER LICENSING CONTACT FLORENCE MARAFATSOS
FLORENCE MARAFATSOS
425 N MARTINGALE RD STE 900
SCHAUMBURG, IL 60173-2206
Phone: +1 (847) 653-8466
Email: florence.marafatsos@fortressins.com
SERVICE OF PROCESS EMILY A. BLOCH
NORMAN, HANSON. & DETROY, LLC
TWO CANAL PLAZA
PO BOX 4600
PORTLAND, ME 04112-4600
Phone: +1 (207) 774-7000
Fax: +1 (207) 775-0806
Email: ebloch@nhdlaw.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: 07/02/2026 03:38:13 PM