black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

AXA ASSISTANCE USA INC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN133955
Status:
First Licensure:
11/28/2006
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
ATTN JACQUELINE BONILLA
2 PRUDENTIAL PLAZA
180 N STETSON AVE STE 3650
CHICAGO, IL 60601-6709
Mailing:
ATTN JACQUELINE BONILLA
2 PRUDENTIAL PLAZA
180 N STETSON AVE STE 3650
CHICAGO, IL 60601-6709
Phone:
+1 (312) 935-3500
Fax:
+1 (312) 896-5810
Email:
jacqueline.bonilla@axa-assistance.us

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 11/28/2006 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN MODERN HOME INSURANCE COMPANY
01/15/2014 PCF808 12/10/2019
AXA XL INSURANCE COMPANY AMERICAS
05/01/2020 PCF189896
NATIONWIDE LIFE INSURANCE COMPANY
10/02/2017 LHF29
NATIONWIDE MUTUAL INSURANCE COMPANY
03/10/2023 PCF32
UNITED STATES FIRE INSURANCE COMPANY
10/14/2011 PCF101256

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
ERICK ALFARO
02/27/2015 PRN246916
LINMAYU S. APPAVU
02/18/2016 PRN264416
ROXANNE E. ARVIZU BALBANEDA
03/10/2023 PRN445977
JONATHAN J. EBREO
12/02/2016 PRN279424
JEFFREY BOUR ENDO
08/28/2024 PRN422662
ERNESTO HERNANDEZ
08/18/2016 PRN272637
MARGARET CELENE LEYS
09/16/2023 PRN463853
JAIME G. RODRIGUEZ
05/29/2021 PRN384573
AMANDA L. TALLEY
08/04/2016 PRN271853
SALLY A. TURCIOS
03/08/2023 PRN445763
DAVID G. TURNER
03/04/2023 PRN445489
STEPHEN PATRICK UTLEY
11/18/2024 PRN150705
MAURIE LASTENIA VELASQUEZ
07/29/2021 PRN389745

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
ERICK ALFARO PRN246916

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
7135904

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: 10/23/2025 04:12:40 PM