DEPARTMENT OF INSURANCE

Name	Pacific Merrill Assurance Brokers LLC	DOIID	937257	NAIC NPN	9013875

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	3/5/2021		3/31/2026
Active	Non Resident	Agent	Casualty	3/5/2021		3/31/2026
Inactive	Non Resident	Agent	Personal Lines	11/15/2016	1/26/2021

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

No License Renewal Information

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date.

Address Information

Type	Address
Business / Home Office	70 Bridge Plaza Dr Manalapan, NJ 07726

Phone Information

Type	Phone
Business / Home Office	(732) 972-0600