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DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

CARMEN LEIGH SMITH

PRODUCER NON-RESIDENT

License Number:
PRN324987
Status:
First Licensure:
01/25/2019
Cancel Date:
None

Mailing:
PHOENIX, AZ 85021
Phone:
+1 (903) 808-2015
Email:
carmen.smith@homesite.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 01/25/2019

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN MODERN HOME INSURANCE COMPANY
06/21/2020 PCF808
AMERICAN MODERN PROPERTY & CASUALTY INSURANCE COMPANY
08/18/2022 PCF234561
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
05/10/2019 PCF445
HOMESITE INSURANCE COMPANY OF THE MIDWEST
01/28/2019 PCF116371
JEWELERS MUTUAL INSURANCE COMPANY, SI
06/04/2022 PCF773 03/17/2025
MIDVALE INDEMNITY COMPANY
09/03/2020 PCF79410

Authority

Description Issue Date Termination Date Status
CASUALTY 01/25/2019 Active
PROPERTY 01/25/2019 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
1257504

Other Addresses

Address Type
PHOENIX, AZ 85021
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: 03/09/2026 08:15:43 PM