black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

ISOLVED NATIONAL BROKER SERVICES, INC.

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN124218
Status:
First Licensure:
02/21/2006
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
5030 E SUNRISE DR
PHOENIX, AZ 85044-5201
Mailing:
5030 E SUNRISE DR
PHOENIX, AZ 85044-5201
Phone:
+1 (480) 763-5900
Fax:
+1 (480) 753-0286
Email:
mversnik@isolvedhcm.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 02/21/2006 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
AETNA HEALTH INC
05/16/2006 HMD45749
AETNA LIFE INSURANCE COMPANY
05/16/2006 LHF621
AMTRUST INSURANCE COMPANY
10/01/2022 PCF260762
HARTFORD ACCIDENT & INDEMNITY COMPANY
05/20/2010 PCF462 02/05/2020
HARTFORD INSURANCE COMPANY OF THE MIDWEST
02/23/2011 PCF1021
HARTFORD LIFE & ACCIDENT INSURANCE COMPANY
06/05/2006 LHF193
HUMANA INSURANCE COMPANY
10/27/2006 LHF980 11/15/2011
MAINE EMPLOYERS MUTUAL INSURANCE COMPANY
10/25/2006 PCD35999 10/25/2006
PROPERTY & CASUALTY INSURANCE COMPANY OF HARTFORD
04/18/2018 PCF47445 06/02/2021
SECURITY NATIONAL INSURANCE COMPANY
10/01/2022 PCF189490
SENTINEL INSURANCE COMPANY LTD
03/01/2012 PCF84269 01/18/2018
SEQUOIA INSURANCE COMPANY
10/01/2022 PCF128467
TECHNOLOGY INSURANCE COMPANY INC
10/01/2022 PCF136874
TRUMBULL INSURANCE COMPANY
04/18/2018 PCF47441 06/02/2021
WESCO INSURANCE COMPANY
10/01/2022 PCF49735

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
DEAN MICHAEL LUCENTE
02/21/2006 PRN122758
JOHN ROBERT PETTENGILL
01/31/2025 PRN314030
PAUL PEZZELLO
07/14/2021 PRN388274
ANDREA KAYE SMALL
03/04/2025 PRN382395
JOHN STEBBINS
02/10/2025 PRR503566

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
DEAN MICHAEL LUCENTE PRN122758

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
8672997

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: 05/16/2025 12:01:49 PM