black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JACK H. ELLIOTT

PRODUCER NON-RESIDENT

License Number:
PRN214572
Status:
First Licensure:
03/19/2013
Cancel Date:
None

Mailing:
ALPHARETTA, GA 30004
Phone:
+1 (253) 759-2200
Fax:
+1 (866) 577-1326
Email:
licensing@propelinsurance.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 03/19/2013

Agency

Name Issue Date License Number Expiration Date Cancel Date
CRC INSURANCE SERVICES LLC
03/19/2013 AGN38700 05/17/2023

Employer

Name Issue Date License Number Expiration Date Cancel Date
AIG PROPERTY CASUALTY COMPANY
04/06/2021 PCF393
ALLIANZ GLOBAL RISKS US INSURANCE COMPANY
05/16/2022 PCF780 11/20/2023
AMERICAN HOME ASSURANCE COMPANY
04/06/2021 PCF367
ARCH INSURANCE COMPANY
01/04/2021 PCF62719
BERKLEY REGIONAL INSURANCE COMPANY
10/29/2024 PCF48727
COMMERCE AND INDUSTRY INSURANCE COMPANY
04/06/2021 PCF413
ILLINOIS NATIONAL INSURANCE COMPANY
04/06/2021 PCF53254
INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA
04/06/2021 PCF482
LIBERTY INSURANCE UNDERWRITERS INC
05/27/2021 PCF175807
NEW YORK MARINE AND GENERAL INSURANCE COMPANY
11/18/2021 PCF36395 05/13/2024
STAR INSURANCE COMPANY
05/19/2021 PCF59785
TRAVELERS CASUALTY AND SURETY COMPANY
10/23/2014 PCF348 03/17/2023
TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA
10/23/2014 PCF711 07/11/2017

Authority

Description Issue Date Termination Date Status
CASUALTY 03/19/2013 Active
PROPERTY 03/19/2013 Active
SURPLUS LINES 09/05/2013 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
8935943

Other Addresses

Address Type
10000 AVALON BLVD STE 130
ALPHARETTA, GA 30009-2530
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: 05/14/2025 01:34:26 AM