black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

EMBEDDED INSURANCE AGENCY, LLC,

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN414720
Status:
First Licensure:
03/30/2022
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
1389 CENTER DR STE 200
PARK CITY, UT 84098-7660
Mailing:
1389 CENTER DR STE 200
PARK CITY, UT 84098-7660
Phone:
+1 (801) 341-9596
Fax:
+1 (801) 341-9596
Email:
adrian.hummel@embeddedinsurance.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 03/30/2022 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN STRATEGIC INSURANCE CORP
07/09/2024 PCF258492
BRISTOL WEST INSURANCE COMPANY
12/31/2024 PCF78370
EXECUTIVE RISK INDEMNITY INC.
03/09/2023 PCF42522
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
12/31/2024 PCF445
INTEGON PREFERRED INSURANCE COMPANY
03/26/2025 PCF873
NATIONWIDE MUTUAL INSURANCE COMPANY
09/06/2023 PCF32 08/29/2024
PROGRESSIVE NORTHERN INSURANCE COMPANY
06/04/2024 PCF51006
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
06/04/2024 PCF27738

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
GREGOR M. BARNEY
09/11/2023 PRN373299
RUSSELL JOHN FETH
09/11/2023 PRN436088
JAMES LARRY HALL
03/30/2022 PRN44330
MINDY G. LANGFORD
09/11/2023 PRN373321
JESSICA RIGBY MADRID
09/11/2023 PRN373317
CHRISTOPHER RYAN SINDLE
09/11/2023 PRN436074

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
JAMES LARRY HALL PRN44330

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
20232397

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: 10/29/2025 11:15:46 AM