black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JEFFREY A. LADD

PRODUCER NON-RESIDENT

License Number:
PRN46120
Status:
First Licensure:
06/19/1996
Cancel Date:
None

Mailing:
FORT WAYNE, IN 46804
Phone:
+1 (855) 969-0305
Email:
stephanie@sportsinsurancespecialists.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 03/27/2012
*** NOT ACTIVE *** 08/25/2011 03/26/2012
PRODUCER NON-RESIDENT 06/19/1996 08/24/2011

Agency

Name Issue Date License Number Expiration Date Cancel Date
K&K INSURANCE GROUP INC
06/19/1996 AGN17002 02/13/2006

Employer

Name Issue Date License Number Expiration Date Cancel Date
AXIS INSURANCE COMPANY
03/11/2015 PCF134278 10/11/2024
EVEREST REINSURANCE COMPANY
05/14/2024 PCF757
FAIRMONT PREMIER INSURANCE COMPANY
02/10/1998 PCF561 04/09/2003
GREAT AMERICAN ASSURANCE COMPANY
07/26/2002 PCF702 02/13/2006
STARSTONE NATIONAL INSURANCE COMPANY
02/10/1998 PCF544 04/09/2003
TIG INSURANCE COMPANY
06/19/1996 PCF593 04/09/2003
VIRGINIA SURETY COMPANY INC
08/01/2002 PCF882 09/20/2006

Authority

Description Issue Date Termination Date Status
CASUALTY 03/27/2012 Active
HEALTH 03/27/2012 Active
PROPERTY 03/27/2012 Active
PROPERTY AND CASUALTY 06/19/1996 08/25/2011 Terminated

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
522706

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: 06/25/2025 06:52:32 PM