black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

BROCK FREDERIC HENDRICKS

PRODUCER NON-RESIDENT

License Number:
PRN328349
Status:
First Licensure:
03/23/2019
Cancel Date:
None

Mailing:
ALTON, IL 62002
Phone:
+1 (314) 605-5115
Email:
bhendricks@fsia.bz

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 03/23/2019

Agency

Name Issue Date License Number Expiration Date Cancel Date
THE DANIEL AND HENRY COMPANY
03/23/2019 AGN36811
FIRST STATE INSURANCE AGENCY INC
07/07/2020 AGN356088

Employer

Name Issue Date License Number Expiration Date Cancel Date
ALLIED INSURANCE COMPANY OF AMERICA
02/16/2022 PCF216138
ALLIED PROPERTY AND CASUALTY INSURANCE COMPANY
02/16/2022 PCF223935
AMCO INSURANCE COMPANY
02/16/2022 PCF223938
DEPOSITORS INSURANCE COMPANY
02/16/2022 PCF223940
EMPLOYERS ASSURANCE COMPANY
06/10/2019 PCF285638 03/21/2024
EMPLOYERS COMPENSATION INSURANCE COMPANY
06/10/2019 PCF285639 03/21/2024
EMPLOYERS PREFERRED INSURANCE COMPANY
06/10/2019 PCF285637 03/21/2024
NATIONWIDE AGRIBUSINESS INSURANCE COMPANY
02/16/2022 PCF151937
NATIONWIDE ASSURANCE COMPANY
02/16/2022 PCF38952
NATIONWIDE GENERAL INSURANCE COMPANY
02/16/2022 PCF30
NATIONWIDE INSURANCE COMPANY OF AMERICA
02/16/2022 PCF422 07/09/2025
NATIONWIDE MUTUAL FIRE INSURANCE COMPANY
02/16/2022 PCF31 01/01/2023
NATIONWIDE MUTUAL INSURANCE COMPANY
02/16/2022 PCF32
NATIONWIDE PROPERTY & CASUALTY INSURANCE COMPANY
02/16/2022 PCF151089

Authority

Description Issue Date Termination Date Status
CASUALTY 03/23/2019 Active
HEALTH 03/23/2019 Active
LIFE 03/23/2019 Active
PROPERTY 03/23/2019 Active

Responsible For

Name License Number
FIRST STATE INSURANCE AGENCY INC AGN356088

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
4789621

Other Addresses

Address Type
ALTON, IL 62002
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: 11/04/2025 04:16:09 AM