black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

STACY LEE ANDERSON

PRODUCER NON-RESIDENT

License Number:
PRN272017
Status:
First Licensure:
08/07/2016
Cancel Date:
None

Mailing:
PLOVER, WI 54467
Phone:
+1 (800) 692-6326 x78377
Fax:
+1 (866) 254-2164
Email:
sanders1@amfam.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 08/07/2016

Agency

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN FAMILY BROKERAGE INC
09/21/2022 AGN214048

Employer

Name Issue Date License Number Expiration Date Cancel Date
HOMESITE INSURANCE COMPANY OF THE MIDWEST
05/12/2019 PCF116371
PROGRESSIVE NORTHERN INSURANCE COMPANY
04/10/2020 PCF51006
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
04/10/2020 PCF27738

Authority

Description Issue Date Termination Date Status
CASUALTY 08/07/2016 Active
HEALTH 08/17/2016 Active
LIFE 08/17/2016 Active
PROPERTY 08/07/2016 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
17859579

Other Addresses

Address Type
PLOVER, WI 54467
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 03:59:30 PM