black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JEREMY CHRISTOPHER FORRETT

PRODUCER NON-RESIDENT

License Number:
PRN53150
Status:
First Licensure:
01/21/1998
Cancel Date:
None

Mailing:
CAZENOVIA, NY 13035
Phone:
+1 (315) 655-3485

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 01/21/1998

Agency

Name Issue Date License Number Expiration Date Cancel Date
CROP GROWERS INSURANCE SERVICES INC
01/21/1998 AGN49198 09/23/2002
CROP GROWERS LLP
05/13/2014 AGN136810 02/01/2024
FARM CREDIT EAST, PCA
11/29/2023 AGN85459

Employer

Name Issue Date License Number Expiration Date Cancel Date
ACE PROPERTY & CASUALTY INSURANCE COMPANY
01/20/2003 PCF44
EMPIRE FIRE AND MARINE INSURANCE COMPANY
08/29/2008 PCF429 11/02/2012
FIREMANS FUND INSURANCE COMPANY
05/26/2004 PCF443 11/02/2012
QBE INSURANCE CORPORATION
11/22/2019 PCF82307
RURAL COMMUNITY INSURANCE COMPANY
07/28/2011 PCF122778

Authority

Description Issue Date Termination Date Status
CASUALTY 01/21/1998 Active
PROPERTY 01/21/1998 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
2000524

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 03:20:33 AM