black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

SCOTT ALEXANDER BROCKELMAN

PRODUCER NON-RESIDENT

License Number:
PRN165588
Status:
First Licensure:
04/18/2009
Cancel Date:
None

Mailing:
TOPSFIELD, MA 01983
Phone:
+1 (978) 887-8304
Fax:
+1 (978) 208-4716
Email:
scott.brockelman@american-national.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 08/28/2020
*** NOT ACTIVE *** 07/28/2015 08/27/2020
PRODUCER NON-RESIDENT 04/18/2009 07/27/2015

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN NATIONAL LIFE INSURANCE COMPANY OF NEW YORK
07/25/2009 LHF164 09/03/2010
AMERICAN NATIONAL LIFE INSURANCE COMPANY OF NEW YORK
02/08/2022 LHF164
BRISTOL WEST INSURANCE COMPANY
12/15/2021 PCF78370
COMMERCE INSURANCE COMPANY (THE)
10/01/2024 PCF53427
FARM FAMILY CASUALTY INSURANCE COMPANY
07/25/2009 PCF438 09/03/2010
FARM FAMILY CASUALTY INSURANCE COMPANY
09/01/2020 PCF438
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
04/12/2021 PCF445
NORTHWESTERN MUTUAL LIFE INSURANCE COMPANY
09/27/2010 LHF21 08/19/2011
PROGRESSIVE NORTHERN INSURANCE COMPANY
02/16/2021 PCF51006
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
02/16/2021 PCF27738

Authority

Description Issue Date Termination Date Status
CASUALTY 08/28/2020 Active
PROPERTY 08/28/2020 Active
LIFE AND HEALTH 04/18/2009 07/28/2015 Terminated
PROPERTY AND CASUALTY 04/18/2009 07/28/2015 Terminated

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
12624067

Other Addresses

Address Type
7 GROVE ST STE 201
TOPSFIELD, MA 01983-1862
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 07:14:59 PM