black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

SAMANTHA HEAD

PRODUCER NON-RESIDENT

License Number:
PRN535704
Status:
First Licensure:
12/13/2025
Cancel Date:
None

Mailing:
APPLETON, WI 54915
Phone:
+1 (920) 521-3270
Fax:
+1 (920) 969-1260
Email:
shead@jminsure.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 12/13/2025

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
JEWELERS MUTUAL INSURANCE COMPANY, SI
12/18/2025 PCF773

Authority

Description Issue Date Termination Date Status
CASUALTY 12/13/2025 Active
PROPERTY 12/13/2025 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
22065843

Other Addresses

Address Type
24 JEWELERS PARK DR
NEENAH, WI 54956-3702
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: 01/30/2026 10:41:34 PM