black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JASMINE BOOKER

PRODUCER NON-RESIDENT

License Number:
PRN512640
Status:
First Licensure:
04/10/2025
Cancel Date:
None

Mailing:
FLORENCE, AZ 85132
Phone:
+1 (920) 330-5100
Fax:
+1 (920) 330-5607
Email:
jasmine.booker@connectbyamfam.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 04/10/2025

Agency

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN FAMILY CONNECT INSURANCE AGENCY INC
07/21/2025 AGN121078

Employer

Name Issue Date License Number Expiration Date Cancel Date
HOMESITE INSURANCE COMPANY OF THE MIDWEST
04/13/2025 PCF116371
MIDVALE INDEMNITY COMPANY
04/13/2025 PCF79410

Authority

Description Issue Date Termination Date Status
CASUALTY 04/10/2025 Active
PROPERTY 04/10/2025 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
19192212

Other Addresses

Address Type
FLORENCE, AZ 85132
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: 01/21/2026 02:46:58 PM