black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

SYNERGY LLC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN369571
Status:
First Licensure:
11/22/2020
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
13800 JACKSON RD
MISHAWAKA, IN 46544-9195
Mailing:
13800 JACKSON RD
MISHAWAKA, IN 46544-9195
Phone:
+1 (574) 258-5555 x6568
Fax:
+1 (574) 258-9177
Email:
cdavidhizar@synergyinsurancegroup.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 11/22/2020 04/01/2027

Alias, DBA or Trade Name

Name
SYNERGY INSURANCE GROUP

Employer

Name Issue Date License Number Expiration Date Cancel Date
ALLIED INSURANCE COMPANY OF AMERICA
10/05/2021 PCF216138
AMERICAN PROGRESSIVE LIFE & HEALTH INS COMPANY OF NEW YORK
01/06/2023 LHF374 05/29/2023
HARLEYSVILLE INSURANCE COMPANY
03/26/2021 PCF129870
HARLEYSVILLE PREFERRED INSURANCE COMPANY
03/26/2021 PCF128998
HARLEYSVILLE WORCESTER INSURANCE COMPANY
03/26/2021 PCF908
NATIONWIDE ASSURANCE COMPANY
03/26/2021 PCF38952
NATIONWIDE GENERAL INSURANCE COMPANY
03/26/2021 PCF30
NATIONWIDE INSURANCE COMPANY OF AMERICA
03/26/2021 PCF422
NATIONWIDE MUTUAL FIRE INSURANCE COMPANY
03/26/2021 PCF31 01/01/2023
NATIONWIDE MUTUAL INSURANCE COMPANY
03/26/2021 PCF32
NATIONWIDE PROPERTY & CASUALTY INSURANCE COMPANY
03/26/2021 PCF151089
WELLCARE OF MAINE, INC.
01/06/2023 HMD305081 05/29/2023
WELLCARE PRESCRIPTION INSURANCE INC
01/06/2023 LHF121869 06/01/2023

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
DAVID D. ATKINSON
11/22/2020 PRN369345

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
DAVID D. ATKINSON PRN369345

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
19710987

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 05:17:12 AM