black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

KRYSTAN NICHOLE MCCOLLUMS

PRODUCER NON-RESIDENT

License Number:
PRN359731
Status:
First Licensure:
08/27/2020
Cancel Date:
None

Mailing:
NEW CASTLE, PA 16101
Phone:
+1 (920) 330-1158
Fax:
+1 (920) 330-5560
Email:
krystan.mccollums@connectbyamfam.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 08/27/2020

Agency

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN FAMILY CONNECT INSURANCE AGENCY INC
07/13/2021 AGN121078

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN FAMILY CONNECT PROPERTY AND CASUALTY INSURANCE COMPANY
07/13/2021 PCF120263
AMERICAN MODERN HOME INSURANCE COMPANY
07/28/2021 PCF808
BRISTOL WEST INSURANCE COMPANY
05/18/2022 PCF78370
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
07/15/2021 PCF445
HOMESITE INSURANCE COMPANY OF THE MIDWEST
07/22/2021 PCF116371
MIDVALE INDEMNITY COMPANY
07/22/2021 PCF79410
PERMANENT GENERAL ASSURANCE CORPORATION
12/21/2023 PCF232047 08/19/2024
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
07/30/2021 PCF27738
RLI INSURANCE COMPANY
07/26/2021 PCF695
UNITED FINANCIAL CASUALTY COMPANY
09/01/2020 PCF61704 06/07/2021

Authority

Description Issue Date Termination Date Status
CASUALTY 07/08/2021 Active
PERSONAL LINES 08/27/2020 Active
PROPERTY 07/08/2021 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
17242108

Other Addresses

Address Type
3500 PACKERLAND DR
DE PERE, WI 54115-9034
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: 10/13/2025 05:19:44 AM