black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

ELIZABETH JANE BENNETT

PRODUCER NON-RESIDENT

License Number:
PRN186972
Status:
First Licensure:
02/05/2011
Cancel Date:
None

Mailing:
MOGADORE, OH 44260
Phone:
+1 (800) 692-6326
Fax:
+1 (855) 242-7584
Email:
americanfamily@license-support.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 02/05/2011

Agency

Name Issue Date License Number Expiration Date Cancel Date
HOMESITE INS AGENCY INC
03/15/2011 AGN124816

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN FAMILY LIFE INSURANCE COMPANY
11/10/2015 LHF238774 05/03/2016
AMERICAN MODERN HOME INSURANCE COMPANY
03/07/2011 PCF808 10/12/2020
AMERICAN MODERN HOME INSURANCE COMPANY
02/19/2021 PCF808
AMERICAN MODERN PROPERTY & CASUALTY INSURANCE COMPANY
04/25/2021 PCF234561
AMERICAN MODERN SELECT INSURANCE COMPANY
03/07/2011 PCF123448 10/12/2020
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
12/19/2023 PCF445
HOMESITE INSURANCE COMPANY OF THE MIDWEST
02/08/2011 PCF116371

Authority

Description Issue Date Termination Date Status
CASUALTY 02/05/2011 Active
LIFE 02/13/2015 Active
PROPERTY 02/05/2011 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
9075368

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: 05/17/2025 10:24:22 AM