black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

LEAVITT SELECT INSURANCE SERVICES, INC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN443551
Status:
First Licensure:
02/09/2023
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
135 W MAIN ST
REXBURG, ID 83440-1826
Mailing:
PO BOX 96
REXBURG, ID 83440-0096
Phone:
+1 (208) 375-9199
Fax:
+1 (208) 658-1951
Email:
jamie-beswick@leavitt.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 02/09/2023 04/01/2027

Alias, DBA or Trade Name

Name
LEAVITT GROUP INSURANCE ADVISORS
LEAVITT GROUP OF BOISE
LEAVITT GROUP OF NORTHERN UTAH

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN FAMILY HOME INSURANCE
08/26/2024 PCF201383

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
JEREMY GERARD KAHN
02/09/2023 PRN443342
LAURA E. STIREMAN
09/20/2024 PRN430966

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
JEREMY GERARD KAHN PRN443342

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
2887641

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 01:42:02 AM