black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

AMFED NATIONAL INSURANCE COMPANY

INSURANCE COMPANY

License Number:
PCF449196
Status:
First Licensure:
04/14/2023
Cancel Date:
None
Renewal Date:
08/10/2025
NAIC Code:
11208

Street Location:
1020 HIGHLAND COLONY PKWY STE 700
RIDGELAND, MS 39157-2129
Mailing:
1020 HIGHLAND COLONY PKWY STE 700
RIDGELAND, MS 39157-2129
Phone:
+1 (601) 853-4949
Email:
john.gill@ascotgroup.com

History

License Type Start Date End Date
INSURANCE COMPANY 04/14/2023 08/10/2025

Employee

Name Issue Date License Number Expiration Date Cancel Date
CHARLES A. CREECH
06/13/2023 PRN131897
JOHN HARDIE EDGECOMBE
06/12/2025 PRN502513
EDWARD BATSON GALTNEY
08/01/2023 PRN299000
GOLDEN GATE INSURANCE AGENCY CORP
05/20/2025 AGN513903
ROBERT JOSEPH IRVIN
06/12/2025 PRN130017
CHARLES HARVEY LYDECKER
07/11/2024 PRN299814
DAVID M. MALLOY
08/03/2023 PRN213752
JASON D. MCELRATH
09/16/2024 PRN253875
MCGRIFF INSURANCE SERVICES LLC
07/01/2024 AGN54463
GRACE C. NORGAARD
05/29/2025 PRN320391
ONE80 INTERMEDIARIES INC
08/18/2023 AGN174781
MICHAEL SCHWIMMER
05/22/2025 PRN259996
LANCE FRANCIS THOM
08/01/2024 PRN338071

Supervised Entity

None.

Authority

Description Issue Date Termination Date Status
WORKERS COMPENSATION 04/14/2023 Active
OTHER LIABILITY 04/14/2023 Active

Contacts

Type Contact
PRODUCER LICENSING CONTACT CORPORATE PARALEGAL
CORPORATE PARALEGAL
1020 HIGHLAND COLONY PKWY STE 700
RIDGELAND, MS 39157-2129
Phone: +1 (601) 853-4949
Email: uscompliance@ascotgroup.com
WORKERS COMPENSATION CLAIMS HOLLY LEWIS, UNIT MANAGER
P.O. BOX 166002
ALTAMONTE SPRINGS, FL 32716-6002
Phone: +1 (321) 250-6238
Fax: +1 (866) 261-8507
Email: hlewis@narisk.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: 06/22/2025 05:08:04 PM