black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

BROTHERHOOD MUTUAL INSURANCE COMPANY

INSURANCE COMPANY

License Number:
PCF93581
Status:
First Licensure:
03/14/2003
Cancel Date:
None
Renewal Date:
08/10/2026
NAIC Code:
13528

Street Location:
DURAND DIWIS
6400 BROTHERHOOD WAY
PO BOX 2227
FORT WAYNE, IN 46801-2227
Mailing:
DURAND DIWIS
6400 BROTHERHOOD WAY
PO BOX 2227
FORT WAYNE, IN 46801-2227
Phone:
+1 (260) 481-9977
Email:
ddiwis@brotherhoodmutual.com

History

License Type Start Date End Date
INSURANCE COMPANY 03/14/2003 08/10/2026

Employee

Name Issue Date License Number Expiration Date Cancel Date
BROTHERHOOD WORKS INSURANCE SERVICES, LLC
12/07/2005 AGN121241
GABRIEL STEPHEN BROWN
06/28/2006 PRN128483
KENNETH ALLEN DOROTHY
12/18/2018 PRN323240
TAMARA J. ELIASON
03/06/2023 PRN445251
PHILIP MICHAEL GAGE
05/03/2021 PRN381102
GUIDESTONE AGENCY SERVICES
06/03/2013 AGN186631
SULEIKA GUZMAN
02/22/2023 PRN444190
BRADFORD GLEN JAMES
06/29/2021 PRN381808
ASHLEY NICOLE KILIAN
12/03/2019 PRN343660
LOGAN KRUSE
03/15/2023 PRN445605
LIGHTWELL INSURANCE ADVISORS OF NEW ENGLAND, LLC
08/15/2013 AGN172338
ROSS KENNETH PETERMAN
06/21/2022 PRN419376
WILLIAM CHARLES PETTY
04/16/2019 PRN326505
LUCAS ANDREW SAN GIACOMO
04/07/2022 PRN415237
CAROL ANN SANFORD
12/03/2019 PRN343651
MILLARD E. SANFORD
12/03/2019 PRN343661
BRADEN SCOTT SHINN
09/11/2025 PRN526649
MICHAEL STEVEN SINGER
06/24/2025 PRN518856
RONALD LEE SPARKS JR
11/09/2018 PRN320651
CINDY A. STEWART
01/31/2018 PRN302156
BROOKLYN M. SULT
09/22/2025 PRN526206
JONATHAN TYLER WARD
01/19/2024 PRN474281

Supervised Entity

None.

Authority

Description Issue Date Termination Date Status
HEALTH 03/14/2003 Active
FIRE 03/14/2003 Active
ALLIED LINES 03/14/2003 Active
COMMERCIAL MULTIPLE PERIL 03/14/2003 Active
INLAND MARINE 03/14/2003 Active
EARTHQUAKE 03/14/2003 Active
WORKERS COMPENSATION 03/14/2003 Active
OTHER LIABILITY 03/14/2003 Active
AUTO LIABILITY 03/14/2003 Active
AUTO PHYS DAMAGE 03/14/2003 Active
GLASS 03/14/2003 Active
BURGLARY AND THEFT 03/14/2003 Active
BOILER AND MACHINERY 03/14/2003 Active

Contacts

Type Contact
SERVICE OF PROCESS COGENCY GLOBAL INC
75 YORK ST STE 2
PORTLAND, ME 04101-4670
Phone: +1 (866) 621-3524
Email: statrep@cogencyglobal.com
PRODUCER LICENSING CONTACT DURAND DIWIS
DURAND DIWIS
PO BOX 2227
FORT WAYNE, IN 46801-2227
Phone: +1 (260) 481-9977
Email: ddiwis@brotherhoodmutual.com
WORKERS COMPENSATION CLAIMS GLENNA HIRSCHY
BROTHERHOOD MUTUAL INSURANCE COMPANY
PO BOX 2228
FORT WAYNE, IN 46801-2228
Phone: +1 (260) 482-8668
Fax: +1 (260) 482-3589
Email: ghirschy@brotherhoodmutual.com

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN)

Other Phone Numbers

Phone Number Type
+1 (260) 481-9977 Office

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: 12/18/2025 02:09:45 AM