black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

ASSUREDPARTNERS OF INDIANA LLC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN213980
Status:
Active
First Licensure:
02/27/2013
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
10 E MAIN ST STE 400
CARMEL, IN 46032-1739
Mailing:
10 E MAIN ST STE 400
CARMEL, IN 46032-1739
Phone:
+1 (864) 626-5592
Email:
kathy.kelleysmith@assuredpartners.com

History
License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 02/27/2013 04/01/2027

Employer
Name Issue Date License Number Expiration Date Cancel Date
AMERICAN FAMILY HOME INSURANCE
 05/24/2023 PCF201383
ARCADIAN HEALTH PLAN INC
 07/24/2013 HMF112421 11/20/2014
ARCH INSURANCE COMPANY
 06/14/2019 PCF62719
THE AUTOMOBILE INSURANCE COMPANY OF HARTFORD, CONNECTICUT
 09/30/2013 PCF659 06/09/2015
BERKLEY INSURANCE COMPANY
 01/29/2020 PCF166289
CONTINENTAL CASUALTY COMPANY
 10/09/2018 PCF420
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
 12/01/2022 PCF868
GREAT AMERICAN INSURANCE COMPANY
 11/08/2018 PCF764
GREAT WEST CASUALTY COMPANY
 10/01/2019 PCF456
HUMANA INSURANCE COMPANY
 07/15/2013 LHF980 05/04/2015
LIBERTY MUTUAL INSURANCE COMPANY
 08/21/2020 PCF331
MITSUI SUMITOMO INSURANCE COMPANY OF AMERICA
 07/30/2019 PCF82584
MITSUI SUMITOMO INSURANCE USA INC
 07/30/2019 PCF1019
OHIO CASUALTY INSURANCE COMPANY
 08/21/2020 PCF73059
THE PHOENIX INSURANCE COMPANY
 09/30/2013 PCF557 06/09/2015
THE STANDARD FIRE INSURANCE COMPANY
 09/30/2013 PCF584 06/09/2015
THE STANDARD FIRE INSURANCE COMPANY
 03/12/2020 PCF584
STARR INDEMNITY & LIABILITY COMPANY
 01/24/2014 PCF1010
TRAVELERS CASUALTY COMPANY OF CONNECTICUT
 09/30/2013 PCF31810 06/09/2015
THE TRAVELERS HOME AND MARINE INSURANCE COMPANY
 09/30/2013 PCF56556 06/09/2015
THE TRAVELERS HOME AND MARINE INSURANCE COMPANY
 12/09/2015 PCF56556 07/22/2021
THE TRAVELERS INDEMNITY COMPANY OF AMERICA
 09/30/2013 PCF585 06/09/2015
THE TRAVELERS INDEMNITY COMPANY
 09/30/2013 PCF602 06/09/2015
WESTERN SURETY COMPANY
 10/24/2018 PCF96
ZURICH AMERICAN INSURANCE COMPANY
 12/01/2022 PCF61397

Affiliated Agent
Name Issue Date License Number Expiration Date Cancel Date
LARRY JOHN SIMONS
 03/11/2016 PRN255529

Branch Office

None.

Supervised Entity

None.

Responsible Individual
Name License Number
LARRY JOHN SIMONS PRN255529

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
16880126

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 12:28:56 AM