black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JENNIFER SUZANNE ANDERSON

PRODUCER NON-RESIDENT

License Number:
PRN467952
Status:
First Licensure:
10/25/2023
Cancel Date:
None

Mailing:
CAMPBELL, CA 95008
Phone:
+1 (408) 680-0200 x3011
Fax:
+1 (408) 429-8460
Email:
jennifer@dbinsurance.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 10/25/2023

Agency

Name Issue Date License Number Expiration Date Cancel Date
ACRISURE WEST INSURANCE SERVICES, LLC
02/14/2025 AGN439616

Employer

Name Issue Date License Number Expiration Date Cancel Date
ACE AMERICAN INSURANCE COMPANY
05/28/2025 PCF640
ACE FIRE UNDERWRITERS INSURANCE COMPANY
05/28/2025 PCF43
ACE PROPERTY & CASUALTY INSURANCE COMPANY
05/28/2025 PCF44
BANKERS STANDARD INSURANCE COMPANY
05/28/2025 PCF152165
CHUBB INDEMNITY INSURANCE COMPANY
05/28/2025 PCF591
CHUBB NATIONAL INSURANCE COMPANY
05/28/2025 PCF80404
EMPLOYERS ASSURANCE COMPANY
04/16/2024 PCF285638
EMPLOYERS COMPENSATION INSURANCE COMPANY
04/16/2024 PCF285639
EMPLOYERS PREFERRED INSURANCE COMPANY
04/16/2024 PCF285637
EXECUTIVE RISK INDEMNITY INC.
05/28/2025 PCF42522
FEDERAL INSURANCE COMPANY
05/28/2025 PCF439
GREAT NORTHERN INSURANCE COMPANY
05/28/2025 PCF455
INDEMNITY INSURANCE COMPANY OF NORTH AMERICA
05/28/2025 PCF50104
PACIFIC EMPLOYERS INSURANCE COMPANY
05/28/2025 PCF546
PACIFIC INDEMNITY COMPANY
05/28/2025 PCF547
VIGILANT INSURANCE COMPANY
05/28/2025 PCF613
WESTCHESTER FIRE INSURANCE COMPANY
05/28/2025 PCF177973

Authority

Description Issue Date Termination Date Status
CASUALTY 10/25/2023 Active
HEALTH 10/25/2023 Active
LIFE 10/25/2023 Active
PROPERTY 10/25/2023 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
2553341

Other Addresses

Address Type
CAMPBELL, CA 95008
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: 06/21/2025 07:38:47 AM