black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

KIRK ALAN THOMAS

PRODUCER NON-RESIDENT

License Number:
PRN266998
Status:
First Licensure:
04/14/2016
Cancel Date:
None

Mailing:
FRANKLIN, IN 46131
Phone:
+1 (812) 372-0841
Fax:
+1 (812) 372-0026
Email:
kthomas@jwinsurance.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 04/14/2016

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
SELECTIVE INSURANCE COMPANY OF AMERICA
09/11/2024 PCF456095
SELECTIVE INSURANCE COMPANY OF NEW YORK
09/11/2024 PCF437
SELECTIVE INSURANCE COMPANY OF SOUTH CAROLINA
09/11/2024 PCF456097
SELECTIVE INSURANCE COMPANY OF THE SOUTHEAST
09/11/2024 PCF456098
SELECTIVE WAY INSURANCE COMPANY
09/11/2024 PCF456096

Authority

Description Issue Date Termination Date Status
CASUALTY 04/14/2016 Active
PROPERTY 04/14/2016 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
1474455

Other Addresses

Address Type
JOHNSON WITKEMPER INC
305 WASHINGTON ST
COLUMBUS, IN 47201-6743
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: 06/18/2025 04:27:18 PM