black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

LASSITERWARE LLC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN225259
Status:
First Licensure:
11/13/2013
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
901 NORTH LAKE DESTINY RD STE 110
MAITLAND, FL 32751-4878
Mailing:
1317 CITIZENS BLVD
LEESBURG, FL 34748-3923
Phone:
+1 (800) 845-8437
Fax:
+1 (888) 883-8680
Email:
insurancelicensing@acrisure.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 11/13/2013 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
ANTHEM HEALTH PLANS OF MAINE INC.
05/10/2023 LHD70566
ANTHEM INSURANCE COMPANIES INC
05/10/2023 LHF125537
ANTHEM LIFE INSURANCE COMPANY
05/10/2023 LHF70467 04/11/2025
ARCH INSURANCE COMPANY
09/25/2016 PCF62719 01/16/2025
NETHERLANDS INSURANCE COMPANY
11/11/2021 PCF827 05/10/2024
PEERLESS INSURANCE COMPANY
11/11/2021 PCF548
TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA
04/22/2014 PCF711 07/18/2018

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
RICHARD CHILDERS
11/13/2013 PRN224902
MIGUEL ANGEL CRUZ
07/10/2023 PRN419861
MICHELLE RENEE HARDIN
11/23/2020 PRN242248
KRISTEN HUGHES
04/26/2023 PRN448850
ALANA LEWIS
07/07/2023 PRN418796
DHIMANT PATEL
07/10/2023 PRN452472

Branch Office

Name Issue Date License Number Expiration Date Cancel Date
LASSITERWARE, LLC (JACKSONVILLE, FL)
07/29/2022 BRN425013
LASSITERWARE, LLC (MAITLAND, FL)
07/29/2022 BRN425012
LASSITERWARE, LLC (OCALA, FL)
07/29/2022 BRN425011
LASSITERWARE, LLC (TAMPA, FL)
07/29/2022 BRN425010

Supervised Entity

None.

Responsible Individual

Name License Number
RICHARD CHILDERS PRN224902

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
3007605

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: 05/15/2025 10:37:24 AM