black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JASON ALLEN VANDEBERGHE

PRODUCER NON-RESIDENT

License Number:
PRN443118
Status:
First Licensure:
02/04/2023
Cancel Date:
None

Mailing:
FENTON, MI 48430
Phone:
+1 (813) 222-4277
Fax:
+1 (810) 629-7738
Email:
corporatelicensing@bbins.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 02/04/2023

Agency

Name Issue Date License Number Expiration Date Cancel Date
BROWN & BROWN INSURANCE SERVICES, INC.
04/29/2024 AGN36572
BROWN & BROWN OF MICHIGAN INC
02/14/2023 AGN370437

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN FAMILY HOME INSURANCE
07/11/2024 PCF201383
INDEPENDENCE AMERICAN INSURANCE COMPANY
10/25/2024 PCF86149

Authority

Description Issue Date Termination Date Status
CASUALTY 02/04/2023 Active
HEALTH 02/04/2023 Active
LIFE 02/04/2023 Active
PROPERTY 02/04/2023 Active

Responsible For

Name License Number
BROWN & BROWN OF MICHIGAN INC AGN370437

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
1977181

Other Addresses

Address Type
BROWN & BROWN INSURANCE SERVICES INC
111 S LEROY ST
FENTON, MI 48430-3830
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: 05/23/2025 07:48:12 AM