black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JERRY T. POLSON

PRODUCER NON-RESIDENT

License Number:
PRN427865
Status:
First Licensure:
08/24/2022
Cancel Date:
None

Mailing:
MYRTLE BEACH, SC 29577
Phone:
+1 (833) 875-5447
Fax:
+1 (843) 546-1348
Email:
jerrypolson@lhis.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 08/24/2022

Agency

Name Issue Date License Number Expiration Date Cancel Date
LAKEVIEW HOUSEHOLD INSURANCE SOLUTIONS, LLC
08/24/2022 AGN336150

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN STRATEGIC INSURANCE CORP
08/03/2023 PCF258492 02/27/2024

Authority

Description Issue Date Termination Date Status
CASUALTY 08/24/2022 Active
PROPERTY 08/24/2022 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
6436468

Other Addresses

Address Type
2725 TEMPERANCE DR
MYRTLE BEACH, SC 29577-1603
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: 05/22/2025 06:40:23 AM