black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

GREAT DIVIDE INSURANCE COMPANY

INSURANCE COMPANY

License Number:
PCF36251
Status:
First Licensure:
01/27/1993
Cancel Date:
None
Renewal Date:
08/10/2025
NAIC Code:
25224

Street Location:
11201 DOUGLAS AVE
URBANDALE, IA 50322-3707
Mailing:
LEANN MEYER
PO BOX 9190
DES MOINES, IA 50306-9190
Phone:
+1 (515) 473-3159
Email:
lmeyer@wrberkley.com

History

License Type Start Date End Date
INSURANCE COMPANY 01/27/1993 08/10/2025

Employee

Name Issue Date License Number Expiration Date Cancel Date
AMWINS PROGRAM UNDERWRITERS INC
07/22/2010 AGN67148
AON ALBERT G RUBEN INSURANCE SERVICES INC
08/12/2010 AGN42973
ARTHUR J GALLAGHER RISK MANAGEMENT SERVICES LLC
01/09/2020 AGN37963
RICHARD E. BACHER
08/30/2018 PRN132099
ROBERT LESLIE BAKER
04/19/2012 PRN52274
BRECKENRIDGE INS SERVICES LLC
03/15/2017 AGN195510
CAMICO INSURANCE SERVICES
06/11/2018 AGN68506
WILLIAM PAUL CLIFFORD
08/03/2010 PRR116821
CONTEMPORARY INSURANCE SERVICES INC
01/09/2013 AGN110304
MARK ANTHONY COY
08/16/2010 PRN153210
CRC INSURANCE SERVICES LLC
02/18/2022 AGN38700
CROSS INSURANCE, INC. - MAINE
05/25/2010 AGR19087
ALPA PATEL EVANS
07/18/2018 PRN299913
TRISHA M. FULWILER
10/19/2012 PRN199471
HARRIS HAUPTMAN
10/31/2014 PRN66725
JEFFREY BYRON HEWITT
07/17/2012 PRN67691
J D FULWILER & CO INSURANCE
04/13/2012 AGN199136
CHRISTOPHER BRUCE KERR
08/10/2010 PRN96336
LOCKTON AFFINITY LLC
07/16/2012 AGN31845
MARSH USA LLC
01/09/2020 AGN37019
WILLIAM R. MCCLOY
08/13/2010 PRN113879
MCGOWAN INSURANCE UNDERWRITERS
04/22/2013 AGN79616
THOMAS B. MCGOWAN IV
04/23/2013 PRN128298
RACHEL JOY PAINTER
11/03/2014 PRN98367
PEAKSTONE FINANCIAL SERVICES INC
11/20/2017 AGN70302
TERESA KIM QUALE
11/20/2017 PRN112920
JASON ROGERS
01/04/2018 PRN260291
RSC INSURANCE BROKERAGE INC
12/04/2017 AGN107012
RICHARD ALLEN RUTKIN
07/27/2018 PRN109502
MICHAEL RYDER
01/09/2018 PRN63612
ATON U. TEITELBAUM
01/11/2013 PRN82147
ISRAEL TEITELBAUM
01/11/2013 PRN56665
GEORGE RAYMOND WALDEN
01/02/2007 PRN113578
KAY ZITO
01/14/2013 PRN208669

Supervised Entity

None.

Authority

Description Issue Date Termination Date Status Additional Information
HEALTH 09/18/2007 Active
FIRE 03/01/1996 Active
ALLIED LINES 03/01/1996 Active
FARMOWNERS MULTIPLE PERIL 09/18/2007 Active
HOMEOWNERS MULTIPLE PERIL 03/01/1996 Active
COMMERCIAL MULTIPLE PERIL 03/01/1996 Active
OCEAN MARINE 09/18/2007 Active
INLAND MARINE 03/01/1996 Active
MEDICAL MALPRACTICE 09/18/2007 Active
EARTHQUAKE 09/18/2007 Active
WORKERS COMPENSATION 10/01/2004 Active
OTHER LIABILITY 03/01/1996 Active
PRODUCTS LIABILITY 03/01/1996 Active
AUTO LIABILITY 03/01/1996 Active
AUTO PHYS DAMAGE 03/01/1996 Active
AIRCRAFT (ALL PERILS) 09/18/2007 Active
FIDELITY 09/18/2007 Active
SURETY 09/18/2007 Active
GLASS 09/18/2007 Active
BURGLARY AND THEFT 12/06/2004 Active
BOILER AND MACHINERY 09/18/2007 Active
CREDIT 09/18/2007 Active
LIMITED TO HOME STATE 01/27/1993 03/01/1996 Terminated
Designated State

PROPERTY AND CASUALTY 01/27/1993 03/01/1996 Terminated

Contacts

Type Contact
WORKERS COMPENSATION CLAIMS WC CLAIMS
TAMARA TILLMAN
101 HUSON STREET, STE 2550
JERSEY CITY, NJ 07302
Phone: +1 (201) 748-3110
Email: ttillman@berkleyenvironmental.com
PRODUCER LICENSING CONTACT JOHN BRIGGS
JOHN BRIGGS
7233 E BUTHERUS DR
SCOTTSDALE, AZ 85260-2410
Phone: +1 (480) 509-6627
Email: nic_regulatory@nautilus-ins.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 05:26:07 PM