black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

WSIB INSURANCE AGENCY LLC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN130112
Status:
First Licensure:
08/08/2006
Cancel Date:
None
Renewal Date:
04/01/2025

Street Location:
6100 FAIRVIEW RD STE 800
CHARLOTTE, NC 28210-3275
Mailing:
6100 FAIRVIEW RD STE 800
CHARLOTTE, NC 28210-3275
Phone:
+1 (866) 904-9742
Fax:
+1 (317) 806-8026
Email:
wsib@3hcs.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 08/08/2006 04/01/2025

Employer

Name Issue Date License Number Expiration Date Cancel Date
AIG PROPERTY CASUALTY COMPANY
12/11/2013 PCF393
AMERICAN HOME ASSURANCE COMPANY
12/11/2013 PCF367
FEDERAL INSURANCE COMPANY
03/12/2010 PCF439 05/06/2024
GRANITE STATE INSURANCE COMPANY
09/08/2015 PCF452
ILLINOIS NATIONAL INSURANCE COMPANY
09/08/2015 PCF53254
NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH PA
12/11/2013 PCF527
NEW HAMPSHIRE INSURANCE COMPANY
09/08/2015 PCF531
NOVA CASUALTY COMPANY
12/01/2010 PCF120494 03/02/2021

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
DAVID M. HATLEM
09/14/2013 PRN221631

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
DAVID M. HATLEM PRN221631

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
8753005

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: 05/25/2025 01:12:08 AM