Search → TIA K. MELVIN
DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE
TIA K. MELVIN
PRODUCER NON-RESIDENT
License Number:
PRN538005
Status:
First Licensure:
01/15/2026
Cancel Date:
None
Mailing:
FAYETTEVILLE, GA 30214
Phone:
+1 (920) 330-5100
Fax:
+1 (920) 330-5607
Email:
tia.melvin@amfam.com
| License Type | Start Date | End Date |
|---|---|---|
| PRODUCER NON-RESIDENT | 01/15/2026 |
| Name | Issue Date | License Number | Expiration Date | Cancel Date |
|---|---|---|---|---|
| AMERICAN FAMILY CONNECT INSURANCE AGENCY INC |
04/25/2026 | AGN121078 |
| Name | Issue Date | License Number | Expiration Date | Cancel Date |
|---|---|---|---|---|
| BRISTOL WEST INSURANCE COMPANY |
06/01/2026 | PCF78370 | ||
| FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN |
06/01/2026 | PCF445 | ||
| HOMESITE INSURANCE COMPANY OF THE MIDWEST |
01/15/2026 | PCF116371 | ||
| MIDVALE INDEMNITY COMPANY |
01/15/2026 | PCF79410 | ||
| PROGRESSIVE NORTHWESTERN INSURANCE COMPANY |
05/15/2026 | PCF27738 |
| Description | Issue Date | Termination Date | Status |
|---|---|---|---|
| PERSONAL LINES | 01/15/2026 | Active |
License/Disciplinary Action
None.
GENERAL INFORMATION
NAIC Information
National Producer Number (NPN):
16294298
| Address | Type |
|---|---|
| 704 CLARENDON PL FAYETTEVILLE, GA 30215-2240 |
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: 06/22/2026 05:37:22 AM
