black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

KELSEY DIANE SMITH

PRODUCER NON-RESIDENT

License Number:
PRN338582
Status:
First Licensure:
09/13/2019
Cancel Date:
None

Mailing:
MARSHFIELD, WI 54449
Phone:
+1 (920) 330-3354
Fax:
+1 (920) 330-5124
Email:
kelsey.smith@connectbyamfam.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 09/13/2019

Agency

Name Issue Date License Number Expiration Date Cancel Date
ALORICA CUSTOMER CARE, LLC
10/15/2019 AGN317911 03/18/2021
AMERICAN FAMILY CONNECT INSURANCE AGENCY INC
09/27/2023 AGN121078

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN FAMILY CONNECT PROPERTY AND CASUALTY INSURANCE COMPANY
03/26/2023 PCF120263
AMERICAN MODERN HOME INSURANCE COMPANY
07/12/2023 PCF808 12/13/2023
AMEX ASSURANCE COMPANY
09/18/2019 PCF875 06/25/2020
BRISTOL WEST INSURANCE COMPANY
01/02/2024 PCF78370
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
01/02/2024 PCF445
HOMESITE INSURANCE COMPANY
04/09/2023 PCF249667
HOMESITE INSURANCE COMPANY OF THE MIDWEST
04/09/2023 PCF116371
MIDVALE INDEMNITY COMPANY
03/26/2023 PCF79410
PROGRESSIVE NORTHERN INSURANCE COMPANY
08/06/2023 PCF51006
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
08/06/2023 PCF27738

Authority

Description Issue Date Termination Date Status
CASUALTY 09/13/2019 Active
HEALTH 09/13/2019 Active
PROPERTY 09/13/2019 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
19254478

Other Addresses

Address Type
CONNECT POWERED BY AMERICAN FAMILY INSURANCE
3500 PACKERLAND DR
DE PERE, WI 54115-9034
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: 05/25/2025 08:37:33 AM