black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

NCMIC INSURANCE COMPANY

INSURANCE COMPANY

License Number:
PCF38064
Status:
First Licensure:
09/30/1993
Cancel Date:
None
Renewal Date:
08/10/2026
NAIC Code:
15865

Mailing:
MATT GUSTAFSON
14001 UNIVERSITY AVE
CLIVE, IA 50325-8258
Phone:
+1 (800) 321-7015
Fax:
+1 (515) 313-4476

History

License Type Start Date End Date
INSURANCE COMPANY 09/30/1993 08/10/2026

Employee

Name Issue Date License Number Expiration Date Cancel Date
AMY P. ALBRIGHT
11/12/2020 PRN366040
HEATHER MARIE ANGERSTEIN
11/09/2015 PRN145009
JERRI RENE BLIXT
09/30/2021 PRN83528
JODI BROWN
11/09/2015 PRN259534
MAGDALYNE RAE BUCKINGHAM
08/11/2025 PRN522880
KIRBY J. DEARDORFF
08/04/2022 PRN421977
CHRIST KEVIN ELIZALDE
12/07/2023 PRN471248
RACHEL ERVIN
11/08/2022 PRN436310
LORENZO GORDON
01/02/2024 PRN472990
JESSICA HARGIS
11/15/2022 PRN436877
JACQUELYN L. HELLRUNG MARBURG
11/10/2014 PRN241308
LILLIE HOLT
10/02/2012 PRN205581
ALEXANDRA LEIGH ILES
03/22/2023 PRN446506
JONATHAN A. KEC
12/22/2021 PRN309956
MELISSA A. KNUTSON
08/16/2018 PRN313090
SEVILLE LEE
09/08/2025 PRN523856
MERINDA SUE MCNEW
07/15/2010 PRN179340
SAMUEL MORGAN
11/25/2024 PRN423033
NCMIC INSURANCE SERVICES INC
08/16/1996 AGN46635
BENJAMIN J. OLSASKY
01/22/2019 PRN323697
MICHELLE CATHERINE PETERSON
11/13/2006 PRN131778
ANDREW L. PRATT
11/03/2004 PRN108098
PROFESSIONAL SOLUTIONS INSURANCE SERVICES INC
05/22/2006 AGN126451
ERICA MICHELLE RAMOS HERBERT
11/29/2022 PRN437817
SAVANAH KAY ROCK
11/08/2023 PRN468240
ANTHEA M. ROTTER
03/09/2015 PRN163419
DAVID M. SIEBERT
02/28/2018 PRN302254
ARTHUR J. SIMPSON
08/27/2019 PRN132672
BRENDON SNELL
07/06/2021 PRN386170
CRYSTAL MARIE STALEY
02/20/2012 PRN199191
ELIZABETH STEVENS
08/20/2025 PRN524282
AMANDA L. SWANSON
08/23/2018 PRN314836
MICHAEL TREVINO
05/24/2022 PRN239751
CHAUNTIA WHITE
11/06/2024 PRN257783
ANDREA WILLROTH
07/11/2024 PRN488222
DEVAN WINNE
09/06/2023 PRN460854
EMILY WOOD
04/11/2018 PRN307124
DANNY J. ZIMMERMAN
12/07/2011 PRN186155

Supervised Entity

None.

Authority

Description Issue Date Termination Date Status
MEDICAL MALPRACTICE 03/01/1996 Active
LIABILITY OTHER THAN AUTO 09/30/1993 03/01/1996 Terminated

Contacts

Type Contact
PRODUCER LICENSING CONTACT AMANDA BARRON
AMANDA BARRON
14001 UNIVERSITY AVE
CLIVE, IA 50325-8258
Phone: +1 (515) 313-4782
Email: licensing@ncmic.com
SERVICE OF PROCESS CORPORATION SERVICE COMPANY
45 MEMORIAL CIR
AUGUSTA, ME 04330-6400
Phone: +1 (800) 927-9800
Fax: +1 (302) 636-5454
Email: sop@cscglobal.com

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN)

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: 10/13/2025 09:37:37 AM