black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

AMERICAN SAFETY CASUALTY INSURANCE COMPANY

INSURANCE COMPANY

License Number:
PCF65788
First Licensure:
11/04/1999
Cancel Date:
06/30/2016
Renewal Date:
06/30/2016
NAIC Code:
39969

Street Location:
250 COMMERCIAL ST STE 5000
MANCHESTER, NH 03101-1116
Mailing:
RENEE CAMPBELL
250 COMMERCIAL ST STE 5000
MANCHESTER, NH 03101-1116
Phone:
+1 (603) 656-2327
Fax:
+1 (603) 656-7502
Email:
renee_campbell@trg.com

History

License Type Start Date End Date
INSURANCE COMPANY 11/04/1999 06/29/2016

Employee

None.

Supervised Entity

None.

Authority

Description Issue Date Termination Date Status
WORKERS COMPENSATION 11/04/1999 06/30/2016 Terminated
OTHER LIABILITY 11/04/1999 06/30/2016 Terminated
AUTO LIABILITY 11/04/1999 06/30/2016 Terminated
AUTO PHYS DAMAGE 11/04/1999 06/30/2016 Terminated
FIDELITY 11/04/1999 06/30/2016 Terminated
SURETY 11/04/1999 06/30/2016 Terminated

Contacts

Type Contact
PRODUCER LICENSING CONTACT BENSON JEFFRESS
BENSON JEFFRESS
250 COMMERCIAL ST STE 5000
MANCHESTER, NH 03101-1116
Phone: +1 (678) 504-4553
Email: benson_jeffress@trg.com
SERVICE OF PROCESS CT CORPORATION SYSTEM
128 STATE ST # 3
AUGUSTA, ME 04330-5630
Phone: +1 (855) 316-8944
Email: info@ctadvantage.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 09:51:24 PM