black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

AMERICAN FAMILY CONNECT INSURANCE AGENCY INC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN121078
Status:
First Licensure:
11/23/2005
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
6000 AMERICAN PKWY
MADISON, WI 53783-0001
Mailing:
6000 AMERICAN PKWY
MADISON, WI 53783-0001
Phone:
+1 (920) 330-5100
Fax:
+1 (920) 330-5124
Email:
hgi.agency.licensing@homesite.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 11/23/2005 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
ACE AMERICAN INSURANCE COMPANY
03/10/2016 PCF640
AMERICAN FAMILY CONNECT PROPERTY AND CASUALTY INSURANCE COMPANY
07/11/2007 PCF120263
AMERICAN MODERN HOME INSURANCE COMPANY
08/29/2006 PCF808
AMERICAN MODERN PROPERTY & CASUALTY INSURANCE COMPANY
10/16/2017 PCF234561
AMERICAN MODERN SELECT INSURANCE COMPANY
11/20/2015 PCF123448 10/28/2021
BANKERS STANDARD INSURANCE COMPANY
03/10/2016 PCF152165
BRISTOL WEST INSURANCE COMPANY
05/11/2022 PCF78370
CHUBB INDEMNITY INSURANCE COMPANY
10/18/2017 PCF591
CHUBB NATIONAL INSURANCE COMPANY
10/18/2017 PCF80404
EXECUTIVE RISK INDEMNITY INC.
02/08/2023 PCF42522
FEDERAL INSURANCE COMPANY
05/17/2011 PCF439
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
09/11/2012 PCF445
GREAT NORTHERN INSURANCE COMPANY
10/18/2017 PCF455
INDEMNITY INSURANCE COMPANY OF NORTH AMERICA
03/10/2016 PCF50104
JEWELERS MUTUAL INSURANCE COMPANY, SI
11/17/2022 PCF773
PACIFIC EMPLOYERS INSURANCE COMPANY
03/10/2016 PCF546
PACIFIC INDEMNITY COMPANY
10/18/2017 PCF547
PROGRESSIVE NORTHERN INSURANCE COMPANY
12/01/2005 PCF51006
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
12/01/2005 PCF27738
RLI INSURANCE COMPANY
01/16/2006 PCF695
UNITED FINANCIAL CASUALTY COMPANY
08/11/2006 PCF61704 03/31/2012
VIGILANT INSURANCE COMPANY
10/18/2017 PCF613

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
BROOKLYN ADAMS
03/03/2025 PRN507246
QUEENSLA AGYARKO
01/14/2025 PRN503990
VASILISA AKISHINA
04/23/2025 PRN509037
MELISSA ALF
06/22/2021 PRN386281
AMIR ALIYU
01/14/2025 PRN500792
CHRISTINE ALLEN
03/25/2020 PRN295328
KEITH ALLEN
08/08/2024 PRN373137
LAURA ALLEN
10/03/2018 PRN318510
MICHAEL ALLEN
10/03/2018 PRN318531
ELVIRA E. ARAIZA
09/20/2018 PRN317418
JENNIFER LEE ASHBY
10/27/2023 PRN447894
MONAY AZIZ
04/23/2025 PRN407345
MACKENZIE M. BADINI
05/31/2019 PRN331959
DALEN BAILEY
04/13/2022 PRN415664
ALLISON ANN BARANOWSKI
04/26/2022 PRN384741
DIAMOND GABRIELLE BATTLE
01/14/2025 PRN231029
KELSEY BECERRA
12/16/2022 PRN436543
JENNIFER LYNN BECKER
10/01/2019 PRN311090
NATASHA BELL
01/14/2025 PRN368652
TAMIKO SHONTRELL BENTON
01/14/2025 PRN501952
RAYMOND J. BERTRAND III
10/04/2018 PRN318617
RYAN BILLS
12/04/2020 PRN203824
BRESHANA MARIE BIRMINGHAM
03/03/2025 PRN413124
PATRICIA BONFANTE
04/23/2025 PRN508245
SIMON BROTZ
04/05/2013 PRN199992
DONOVAN BROWN
03/03/2025 PRN507184
ALEXANDER N. BRUNETTE
06/21/2023 PRN399186
CATHRINE BURKET
12/16/2022 PRN437914
PERRY LEMONT BURTON
04/23/2025 PRN508886
KYA SHYNAE BUTLER
04/23/2025 PRN508889
ARIELLA ROSARIO CAMARAZA
04/23/2025 PRN382505
BRETT J. CANNON
10/05/2018 PRN318665
BRENDA CARRILLO
01/14/2025 PRN501973
ROBIN CARTER
01/14/2025 PRN502054
JERELLE ANTHONY CAVITT
04/23/2025 PRN508896
ANTHONY CERVANTES
06/04/2021 PRN383927
RANDY CESPEDES
06/23/2021 PRN385895
ANDREW CHAM
01/14/2025 PRN502556
HOPE L. CHAVEZ
06/21/2023 PRN445422
COREY LAMONTE CHILDERS
06/07/2023 PRN452516
ELISHIA S. CHISOLM
04/23/2025 PRN485415
DERRICK CLARK
04/23/2025 PRN509173
KORINA CLARK
05/24/2023 PRN399195
NICHOLAS C. CLASSEN
04/23/2025 PRN509175
SHAYLA COBB
04/22/2021 PRN380576
MALLORIE COMMODORE
07/06/2023 PRN454903
RYAN CHRISTOPHER CONNER
03/03/2025 PRN507218
CONNOR COOK
04/23/2025 PRN454316
DANIEL COOK
01/14/2025 PRN481715
SAMUEL COSTELLO
04/05/2013 PRN206861
JAMES R. COUNTER II
01/11/2010 PRN173744
MARIA LAURA COVA LOPEZ
01/14/2025 PRN502149
DAQUEZ CRAWFORD
03/03/2025 PRN507566
TITUS CUNNINGHAM
01/14/2025 PRN406256
MICHAEL ANGELO DANIELS
10/27/2023 PRN454865
BRETT STEPHEN DAVID
10/27/2023 PRN454856
JOHN DAVIS
11/06/2024 PRN499885
QUANDRIKA LASHAWN DAVIS
03/03/2025 PRN378301
RICHARD A. DELAROSA
03/03/2025 PRN150659
JEFFREY MICHAEL DEMILIO
02/01/2016 PRN151503
ILEE MICHELLE DESOTO
11/06/2024 PRN499991
BRIAN J. DISTERHAFT
03/06/2018 PRN304499
ERIN JOY DISTERHAFT
05/29/2019 PRN331927
CELINE ANN DIVIAK
03/03/2025 PRN507255
D ANN SUZAN DIXON
05/24/2023 PRN410011
DARALISA DIXON
01/14/2025 PRN502562
ASHLEY DODSON
04/23/2025 PRN454218
JORGE RAUL DUMOIS DIAZ
06/21/2023 PRN299070
GRANT DVORAK
08/07/2019 PRN335429
JACOB ELM
06/02/2018 PRN310426
JONATHAN CHASE ENGLEBERT
11/27/2017 PRN276862
OBABETA U. ERUTEYA
01/14/2025 PRN502140
SILAS ROY EVANS
01/14/2025 PRN502094
MARSHA FAUGUE
03/03/2025 PRN416691
DYLAN DAVID FISHER
06/24/2021 PRN386233
DEBRA LEE FIUMEFREDDO
12/16/2022 PRN438295
SUSAN FOOTE
06/21/2023 PRN399201
TINA TERESA FOSTER
03/03/2025 PRN508200
STEPHANIE ANNMARIE FREANER
01/14/2025 PRN502163
GARY FROSETH JR
01/06/2020 PRN346078
DALLAS L. FULGHAM
06/07/2023 PRN452656
KATHLEEN RYAN FULGHAM
03/03/2025 PRN409974
HRISTINA FULKS
01/14/2025 PRN502172
CRISMA GARDNER
03/03/2025 PRN457080
PENNY KAY GEBELEIN
06/21/2023 PRN399213
ASHLEY GENTRY
07/06/2023 PRN454855
MARIA GIL
04/27/2022 PRN416797
SHARON JOHNSON GILBERT
01/14/2025 PRN376622
MEGAN NICOLE GILLEY
06/30/2022 PRN421826
TATIANNA LEE GODFREY
01/14/2025 PRN502180
KYLE CINDI GOLDBERG
09/27/2023 PRN410084
MARIA G. GONZALEZ PERDOMO
04/23/2025 PRN508981
FALLON GRIFFIN
03/03/2025 PRN468300
ERICA MORGAN GRIMSLEY
01/14/2025 PRN502197
ABEL GUZMAN
06/24/2021 PRN386285
JEANETTE GUZMAN
12/16/2022 PRN438310
TAMEKA HAGAN
03/25/2020 PRN199731
SEAN HALVERSON
03/27/2018 PRN306139
KENAN HAMADI
11/06/2024 PRN500020
TARYN HAMRICK
03/03/2025 PRN507276
SHAQUANN LE JOAN HARRIS
03/03/2025 PRN361966
BARBARA JEANNE HARWOOD
11/06/2024 PRN500078
KEVIN HEELAN
04/23/2025 PRN508989
ALEJANDRO MANUEL HERNANDEZ
04/23/2025 PRN508992
ZHISANDRA HERRERA
04/15/2022 PRN415600
CHRISTOPHER THOMAS HIGLEY
09/27/2023 PRN434771
BRETT MATTHEW HILLMANN
01/14/2025 PRN473769
ALLYSE DELANE HOLLOMAN
04/23/2025 PRN399346
MAIA HOWE
03/03/2025 PRN507316
MARGARET ELLEN HOWELLS
11/06/2024 PRN498968
SYLAS INGRAM
04/23/2025 PRN489199
BIANCA A. JACKSON
04/23/2025 PRN508996
ARASIA DOMINIQUE JAMES
09/27/2023 PRN449075
MICHELLE M. JENSEN
02/16/2012 PRN199461
STACY JIMENEZ
05/24/2023 PRN409978
JAMESHIA JOHNSON
11/06/2024 PRN500115
COREY JOHNSTON
08/06/2019 PRN335421
DOMINIC LORENZO JONES
04/23/2025 PRN449781
JUDY LOARD JONES
01/14/2025 PRN502208
OURANA JORDAN
01/14/2025 PRN454511
BRIANNA JUSTASON
09/27/2023 PRN399210
JEFFREY PHILIP JUSTUS
11/06/2024 PRN500326
KEVIN C. KAPP
03/28/2018 PRN304377
JASON P. KARM
01/14/2025 PRN502218
JORDAN KASTER
10/24/2017 PRN296667
JENNIFER L. KELLEY
01/14/2025 PRN502231
KHORGIAN KING
01/14/2025 PRN443333
COLLIN KLEEN
10/27/2023 PRN464698
LUKE KOBILAN
03/03/2025 PRN507384
JARED JAMES KRAUSE
12/11/2017 PRN299287
NATHAN KRAUSE
09/29/2018 PRN318247
SHAWN KRESSIN
03/25/2020 PRN349349
TIMOTHY M. KRUSE
03/25/2020 PRN351618
MICHELLE LEE KUSSOW
11/07/2019 PRN343444
JACOB LACKEY
11/06/2024 PRN479594
COREY LALONDE
09/27/2023 PRN399217
CHRISTOPHER LAMBERT
05/24/2023 PRN399391
KRISTOPHER R. LARSON
07/29/2019 PRN327037
CONNOR JAY LAWRENCE
03/03/2025 PRN507330
SHANIELYA LEE
03/03/2025 PRN411956
ROSE M. LEHMAN
10/27/2023 PRN462847
LUKE LEHMANN
12/04/2020 PRN369319
BRADFORD D. LEITERMAN
11/25/2017 PRN298800
MIGUEL DAVID LINARES MARZULLO
10/27/2023 PRN419494
ZOE G. LITTLETON
01/14/2025 PRN504363
WESLEY ALLAN LOGAN
05/24/2023 PRN399239
SEBASTIAN LOPEZ
01/14/2025 PRN463660
JENNIFER LEIGH MABBITT
09/29/2012 PRN169386
CHRISTOPAUL MALFA
06/25/2021 PRN386055
GAIL LOUISE MAYO
01/14/2025 PRN502544
OMAR WESLEY MCCLAIN
04/23/2025 PRN509123
KRYSTAN NICHOLE MCCOLLUMS
07/13/2021 PRN359731
MICHAEL RYAN MCCROAN
03/03/2025 PRN507412
MARSHA KAYE MCFARLAND
01/14/2025 PRN238430
MICHAELA CELESTE MCGHEE
03/03/2025 PRN467473
NIKOLAS MEURETT
10/10/2019 PRN340463
AKIN DASAN MILLER
04/23/2025 PRN509137
YADIRA MIRAMONTES
10/27/2023 PRN462678
AMY MITCHELL
06/21/2023 PRN399631
KIMBERLY G. MITCHELL
10/27/2023 PRN458880
EVAN MOE
01/05/2023 PRN439875
SHANNA TODHUNTER MOORE
01/14/2025 PRN467564
KAREN MORALES
01/14/2025 PRN504027
EMILY MORGAN
08/07/2018 PRN314238
LYNDA MARIE MORGAN-IRONMOCCASIN
10/27/2023 PRN467946
SUSAN KAY MORRIS
10/27/2023 PRN298150
JENNIFER MORRISON
10/27/2023 PRN432091
BLAKE MUELLER
03/03/2025 PRN507354
JUAN MUNOZ RAMOS
03/03/2025 PRN499730
DEIRDRE ANN MURPHY
10/27/2023 PRN422458
YACHITA MURRAY
04/23/2025 PRN509141
HANNAH MWAI
12/11/2017 PRN299281
BRITTANY L. NICHOLS
10/27/2023 PRN447219
DIANE NIGHORN
10/27/2023 PRN441867
BRADLEY S. NOEL
10/27/2023 PRN458755
CHRISTOPHER DAVID OBORNY
03/03/2025 PRN507427
ROBYN MICHELLE OLSON
10/27/2023 PRN275821
DUBEM ONYIRIMBA
01/14/2025 PRN504394
MICHAEL OROZCO
06/07/2023 PRN452519
EDWIN ORTIZ
11/29/2021 PRN383063
DANIELA PADILLA
11/06/2024 PRN317945
BRITTNEY PAMPERIN
11/06/2024 PRN500240
SHIKERA PAYNE
04/23/2025 PRN509849
JOSHUA D. PENKWITZ
10/27/2023 PRN458548
ALEJANDRA PEREZ
01/14/2025 PRN504101
HILLARY ANN PETERSON
05/24/2023 PRN159927
CHRISTOPHER XAVIER PINCAY
10/27/2023 PRN399110
CATRINA PLUHAR
04/23/2025 PRN509151
ANTORIA MICHELLE PONDER
04/23/2025 PRN509190
STEVEN POOLE
06/29/2022 PRN421722
GWENDALINE PRIES
10/27/2023 PRN460896
STEVEN ROBERT QUEALY
10/27/2023 PRN210144
CASSEY MAE GREGORIO QUIATZON
10/27/2023 PRN467854
CHARLENE RABENHORST
10/27/2023 PRN433755
SCOTT A. RAINO
10/27/2023 PRN434034
VICTOR ALFARO RAMIRES
06/21/2023 PRN400389
JOSEFINA V. RAMIREZ
10/27/2023 PRN397540
KATHERINE KAY RANDALL
10/27/2023 PRN250507
JAANEL RANDOLPH
10/27/2023 PRN458821
COLE TANNER RASMUSSEN
10/10/2018 PRN319069
COLIN REECE
04/23/2025 PRN509199
EBONI REEVES
04/23/2025 PRN509204
MATTHEW A. REICHWALD
06/21/2023 PRN399240
ROXANNE JANICE RENFRO
03/03/2025 PRN385303
CHRISTIE MICHELE RESILARD
03/03/2025 PRN507460
MIGDALIA RESLER
10/27/2023 PRN358304
KENA REVELL
01/14/2025 PRN399466
STEVEN RICE
10/27/2023 PRN462930
ANGELL RICHARDS
10/27/2023 PRN381463
MAIYA RICHARDSON
09/27/2023 PRN325014
ANGELA D. RING
01/14/2025 PRN504105
DENIECE RIVAS
11/06/2024 PRN233144
RACHAEL PATRICE RIVERA
10/27/2023 PRN462929
GLEN ROBERTS BESSEY
03/25/2020 PRN347617
GIANNY ROBERTS
10/27/2023 PRN298798
KIMBERLY ROCHELLE ROBINSON
10/16/2018 PRN249529
JENNY RODRIGUEZ
01/14/2025 PRN345873
AARON ROGERS
09/27/2023 PRN338355
LYNNE M. ROGERS
01/14/2025 PRN502239
KATHLEEN E. ROIX
06/21/2023 PRN400433
LISA RONE
03/03/2025 PRN507468
CONNOR ROWE
10/27/2023 PRN434035
ABIGAIL ROWELL
07/19/2018 PRN313056
DEBRA ANN ROZMIAREK
06/21/2006 PRN128087
KELLEY LYNNE RUCKER
01/14/2025 PRN398725
BERENICE MARIA SAINZ
03/03/2025 PRN507589
CHRISTOPHER M. SALEMI
12/02/2019 PRN344112
ESTEBAN SALINAS
10/27/2023 PRN458820
MELISSA AUBREY SALOMONSON
01/14/2025 PRN502441
KATIE J. SCHEFFEN
10/27/2023 PRN400807
NICHOLAS SCHRAM
10/27/2023 PRN458823
CHLOE M. SCHROEDER
10/27/2023 PRN434938
STEPHANIE E. SCHROEDER
06/21/2023 PRN399740
WANITA SCHROEDER
10/27/2023 PRN434940
JAMES E. SEIPEL
10/27/2023 PRN435031
HALIMA SEMEGA JANNEH
01/14/2025 PRN504181
JIMMY LEE SHILLING
03/03/2025 PRN507595
BRYON SHINGLEDECKER
10/27/2023 PRN417896
SONJA L. SHIRLEY
01/14/2025 PRN504209
MARCUS LINNEL SIMMONS
03/03/2025 PRN507509
PRINCESS SIMPSON
10/27/2023 PRN435045
SHANTEL SUZANN SIMPSON
10/04/2018 PRN214902
BRENDA LEE SMALLEY
10/27/2023 PRN445416
MELISSA SMIT
11/06/2024 PRN301282
ALYSSIA NICOLE SMITH
01/14/2025 PRN504210
CHRISSA SMITH
01/14/2025 PRN404762
CHRISTIAN JAMES SMITH
03/03/2025 PRN507480
DARRICK WAYNE SMITH
10/27/2023 PRN458827
JESSICA SMITH
01/14/2025 PRN502461
KELSEY DIANE SMITH
09/27/2023 PRN338582
LUKE SMITS
10/27/2023 PRN458836
DANIEL SNYDER
06/21/2023 PRN399117
TIMOTHY ROLLIN SNYDER
03/03/2025 PRN507596
OLUWAKEMI SOBOYEJO
07/13/2022 PRN423203
ANA CAREN SOTO ARREOLA
10/27/2023 PRN417803
LOU ANNE RAMOS SOTO
11/06/2024 PRN500283
NOREEN CATHERINE SPARKS
01/14/2025 PRN504217
KURTIS SPENCER
05/24/2023 PRN410013
ERICA LESHELLE STANDLEY
01/14/2025 PRN502468
XAVIER STANLEY BROWN
10/27/2023 PRN447474
CATHERINE STARKS
10/27/2023 PRN445461
HEATHER STIEFVATER
10/27/2023 PRN451209
YEVGENIYA N. STRADLING
03/03/2025 PRN507510
KARL LEONARDO SWITZER
10/27/2023 PRN419501
DANIEL TERCERO
10/27/2023 PRN447606
JONATHAN HEINRICH TERCERO
10/27/2023 PRN435104
KEVIN MICHAEL TERCERO
10/27/2023 PRN432295
PAMELA JEAN TERRELL
01/14/2025 PRN504236
SARAH MARIE TESKE
04/22/2021 PRN380629
TODD THIEL
01/14/2025 PRN502885
JAMES THOMAS IV
01/14/2025 PRN268542
JOYCE THOMAS
01/14/2025 PRN502517
LEJON R. THOMAS
10/27/2023 PRN462670
MARTIN CLINTON THOMPSON
03/03/2025 PRN385225
PATRICK C. TREICHEL
01/14/2025 PRN504238
DEVIN TRUCHARD
10/27/2023 PRN458837
ALEXANDER TULLBERG
03/27/2018 PRN306150
ALYCE YVETTE TYLER
10/27/2023 PRN464028
MELISSA MAE VAN ARK
04/30/2018 PRN271223
JONATHAN P. VAN NOIE
09/26/2012 PRN208291
JUDD D. VANDEHEI
11/29/2019 PRN344205
IRIDIAN LIVELY VASQUEZ
03/03/2025 PRN415137
TINA L. VAUGHN
10/27/2023 PRN316551
JASMINE VELASQUEZ
10/27/2023 PRN399122
AMBER CHARMAINE VENABLE
10/27/2023 PRN435302
CYNDY GISELLE VILLALPANDO
10/27/2023 PRN419509
CHRISTINE NOALANI VILLASENOR
10/27/2023 PRN446508
ALEIA VREELAND
11/06/2024 PRN392416
MELLISSA R. WADDILOVE
10/27/2023 PRN451223
TERESA MARY WAHRER
04/19/2022 PRN415872
BRIAN WANEK
10/05/2018 PRN318663
SAMUEL WANGELIN
10/27/2023 PRN458878
BRETINA LUELLA WARD
10/27/2023 PRN150021
LATOYA DENISE WASHINGTON
10/27/2023 PRN227859
TERRENCE WATKINS
04/23/2025 PRN367052
DANIEL JOHN WEALTON
06/21/2023 PRN399131
MICHAEL WEINHOFF
06/21/2023 PRN399735
KATIE J. WENDT
08/05/2021 PRN389275
DAWN WHITE
07/19/2018 PRN313002
GEORGIA WHITE
10/27/2023 PRN283155
MARTINIQUE WILKINS
10/27/2023 PRN399244
APRIL WILLIAMS
10/27/2023 PRN281243
DERAYON JAVANTE WILLIAMS
10/27/2023 PRN464692
TYREE WILSON
04/23/2025 PRN451214
NICHOLAS J. WOLF
12/11/2019 PRN345221
THOMAS A. WOOLRICH
10/27/2023 PRN462866
KATELYN RENE WOOTERS
10/27/2023 PRN447475
CODY WRENSCH
04/26/2018 PRN307494
ALFONSO CLINTON MENDEZ YADAO
10/27/2023 PRN399253
SANDRA YANG
08/09/2022 PRN425056
ERIKA MICHELLE YBARRA
01/14/2025 PRN504242
KATHLEEN RENEE YI
10/27/2023 PRN399535
OSMAN DAVID YOKUBONIS
03/03/2025 PRN507523
STEPHANIE YOUNK
10/27/2023 PRN434040
CIERRA B. YOUNT
10/27/2023 PRN451088
JARRED BARTOW ZIPPERER
03/03/2025 PRN507630
ZACHARIAH ZIPPERER
10/27/2023 PRN446799
TANYA K. ZORN
08/05/2021 PRN218159

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
KEITH ALLEN PRN373137

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
7411269

Other Phone Numbers

Phone Number Type
+1 (920) 330-5100 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: 05/13/2025 07:54:57 AM