black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

KHALID MICHAEL AL-BANNA

PRODUCER NON-RESIDENT

License Number:
PRN421013
Status:
First Licensure:
06/15/2022
Cancel Date:
None

Mailing:
ERIE, PA 16509
Phone:
+1 (814) 866-1941
Fax:
+1 (814) 864-6559
Email:
license@embracepetinsurance.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 06/15/2022

Agency

Name Issue Date License Number Expiration Date Cancel Date
EMBRACE PET INS LLC
06/15/2022 AGN175227

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN MODERN HOME INSURANCE COMPANY
06/17/2022 PCF808 10/14/2022

Authority

Description Issue Date Termination Date Status
CASUALTY 06/15/2022 Active
PROPERTY 06/15/2022 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
20150462

Other Addresses

Address Type
952 W 38TH ST
ERIE, PA 16508-2531
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: 09/09/2026 03:31:36 AM