black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

MOUNTAIN VALLEY INDEMNITY COMPANY

INSURANCE COMPANY

License Number:
PCF48487
Status:
First Licensure:
01/17/1997
Cancel Date:
None
Renewal Date:
08/10/2025
NAIC Code:
10205

Street Location:
5630 UNIVERSITY PKWY
WINSTON SALEM, NC 27105-1312
Mailing:
PO BOX 3199
WINSTON SALEM, NC 27102-3199
Phone:
+1 (800) 526-0332
Fax:
+1 (646) 514-3519
Email:
annualstatementcontact@ngic.com

History

License Type Start Date End Date
INSURANCE COMPANY 01/17/1997 08/10/2025

Employee

Name Issue Date License Number Expiration Date Cancel Date
BYAM BROTHERS-MAHONEY INSURANCE AGENCY INC
11/23/2010 AGN38195
CHARLES F MURPHY INC
11/24/2010 AGN38628
CROSS INSURANCE, INC. - MAINE
11/23/2010 AGR19087

Supervised Entity

None.

Authority

Description Issue Date Termination Date Status
FIRE 01/17/1997 Active
ALLIED LINES 01/17/1997 Active
COMMERCIAL MULTIPLE PERIL 01/17/1997 Active
INLAND MARINE 01/17/1997 Active
EARTHQUAKE 01/17/1997 Active
WORKERS COMPENSATION 01/17/1997 Active
OTHER LIABILITY 01/17/1997 Active
PRODUCTS LIABILITY 01/17/1997 Active
AUTO LIABILITY 01/17/1997 Active
AUTO PHYS DAMAGE 01/17/1997 Active

Contacts

Type Contact
PRODUCER LICENSING CONTACT GLENN MILLER
GLENN MILLER
450 W HANES MILL RD STE 101
WINSTON SALEM, NC 27105-7414
Phone: +1 (800) 526-0332
Fax: +1 (800) 526-0332
Email: salesappointmentrenewals@ngic.com
WORKERS COMPENSATION CLAIMS BRIAN LORDAN
MOUNTAIN VALLEY INDEMNITY COMPANY
PO 6935
CLEVELAND, OH 44101
Phone: +1 (603) 324-3391
Fax: +1 (518) 213-1908
Email: brian.lordan@amtrustgroup.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)

Other Phone Numbers

Phone Number Type
+1 (216) 802-3884 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: 05/13/2025 05:06:07 PM