black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

KEYSTONE INSURANCE & BENEFITS GROUP, LLC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN311196
Status:
First Licensure:
06/14/2018
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
13800 JACKSON RD
MISHAWAKA, IN 46544-9195
Mailing:
13800 JACKSON RD
MISHAWAKA, IN 46544-9195
Phone:
+1 (574) 231-6500
Fax:
+1 (574) 231-6501
Email:
rdeitrick@keystoneinsgrp.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 06/14/2018 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
ALL SAVERS INSURANCE COMPANY
12/29/2023 LHF233900
UNITEDHEALTHCARE INSURANCE COMPANY
12/29/2023 LHF700
UNITEDHEALTHCARE OF NEW ENGLAND, INC.
12/29/2023 HMF393375

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
JONI C. DE SOUZA
02/25/2022 PRN411610

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
JONI C. DE SOUZA PRN411610

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
14298459

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: 03/07/2026 08:18:04 AM