black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

ELISHIA S. CHISOLM

PRODUCER NON-RESIDENT

License Number:
PRN485415
Status:
First Licensure:
05/31/2024
Cancel Date:
None

Mailing:
COVINGTON, GA 30016
Phone:
+1 (920) 330-5100
Fax:
+1 (585) 440-9443
Email:
elishia.chisolm@connectbyamfam.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 05/31/2024

Agency

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN FAMILY CONNECT INSURANCE AGENCY INC
04/23/2025 AGN121078
SUTHERLAND GLOBAL SERVICES INC
05/31/2024 AGN111757

Employer

Name Issue Date License Number Expiration Date Cancel Date
BRISTOL WEST INSURANCE COMPANY
09/10/2025 PCF78370
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
09/10/2025 PCF445
HOMESITE INSURANCE COMPANY OF THE MIDWEST
02/25/2025 PCF116371
MIDVALE INDEMNITY COMPANY
07/21/2025 PCF79410
UNITED STATES FIRE INSURANCE COMPANY
06/21/2024 PCF101256 02/13/2025

Authority

Description Issue Date Termination Date Status
PERSONAL LINES 05/31/2024 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
7962779

Other Addresses

Address Type
6000 AMERICAN PKWY
MADISON, WI 53783-0001
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: 10/11/2025 10:32:15 AM