black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

AMERICAN FAMILY CONNECT PROPERTY AND CASUALTY INSURANCE COMPANY

INSURANCE COMPANY

License Number:
PCF120263
Status:
First Licensure:
11/01/2005
Cancel Date:
None
Renewal Date:
08/10/2026
NAIC Code:
29068

Street Location:
6000 AMERICAN PKWY
MADISON, WI 53783-0001
Mailing:
6000 AMERICAN PKWY
MADISON, WI 53783-0001
Phone:
+1 (608) 242-4100
Email:
corplicensing@amfam.com

History

License Type Start Date End Date
INSURANCE COMPANY 11/01/2005 08/10/2026

Employee

Name Issue Date License Number Expiration Date Cancel Date
RICHARD CORWYN ADAIR JR
04/21/2025 PRN273459
MELISSA ALF
06/22/2021 PRN386281
CHRISTINE ALLEN
03/25/2020 PRN295328
KEITH ALLEN
04/23/2024 PRN373137
AMERICAN FAMILY BROKERAGE INC
02/10/2023 AGN214048
AMERICAN FAMILY CONNECT INSURANCE AGENCY INC
07/11/2007 AGN121078
AMERICAN ROAD SERVICES COMPANY LLC
08/31/2006 AGN89900
ELVIRA E. ARAIZA
10/02/2018 PRN317418
THEODORE JAMES BACHO
09/29/2024 PRN436440
MACKENZIE M. BADINI
05/31/2019 PRN331959
ALLISON ANN BARANOWSKI
04/26/2022 PRN384741
KELSEY BECERRA
11/09/2022 PRN436543
TAMIKO SHONTRELL BENTON
12/02/2024 PRN501952
RAYMOND J. BERTRAND III
11/15/2018 PRN318617
RYAN BILLS
11/11/2020 PRN203824
ROBIN CARTER
12/06/2024 PRN502054
ELIZABETH G. CASTANEDA
09/15/2009 PRN165267
ANTHONY CERVANTES
06/04/2021 PRN383927
HOPE L. CHAVEZ
03/26/2023 PRN445422
JOHN S. CONLON
07/12/2006 PRN75695
COSTCO INSURANCE AGENCY INC
08/31/2006 AGN82572
COUCH-BRAUNSDORF AFFINITY INC
10/20/2009 AGN134255
ANDREW THOMAS DEBELS
03/26/2023 PRN441860
BRIAN J. DISTERHAFT
03/09/2018 PRN304499
ERIN JOY DISTERHAFT
05/31/2019 PRN331927
ERIC DRZEWIECKI
11/17/2021 PRN403306
JACOB ELM
06/06/2018 PRN310426
JONATHAN CHASE ENGLEBERT
12/06/2017 PRN276862
JOHNNIE EVERETT
04/21/2025 PRN248109
DEBRA LEE FIUMEFREDDO
12/01/2022 PRN438295
GARY FROSETH JR
12/19/2019 PRN346078
MARIA GIL
04/27/2022 PRN416797
TAMEKA HAGAN
03/20/2020 PRN199731
COLLIN R. HOLLOWAY
03/26/2023 PRN441851
ARASIA DOMINIQUE JAMES
04/14/2023 PRN449075
KEVIN C. KAPP
03/22/2018 PRN304377
NICOLE LYNN KASAL
03/26/2023 PRN441868
JORDAN KASTER
10/25/2017 PRN296667
JEREMY JOSEPH KLARNER
03/26/2023 PRN167041
STACEY J. KLEARMAN
03/26/2023 PRN417764
DANIEL DAVID KOHARIK
04/21/2025 PRN214302
NATHAN KRAUSE
10/04/2018 PRN318247
TIMOTHY M. KRUSE
03/25/2020 PRN351618
MICHELLE LEE KUSSOW
11/07/2019 PRN343444
AUDREA ANNE LARAMEE
04/22/2025 PRN451635
JALIL LEVON
04/21/2025 PRN246656
JENNIFER LEIGH MABBITT
10/02/2012 PRN169386
LYNN N. MAJOR
03/23/2010 PRN166573
KRYSTAN NICHOLE MCCOLLUMS
07/13/2021 PRN359731
NIKOLAS MEURETT
10/10/2019 PRN340463
TIMOTHY RICHARD MILLER
12/01/2010 PRN153254
TRACI LYN MILLER
04/21/2025 PRN208366
EVAN MOE
01/04/2023 PRN439875
DAWN MONFORTE
04/21/2025 PRN358375
KISHA MONIQUE MOORE
04/21/2025 PRN375546
DIANE NIGHORN
03/26/2023 PRN441867
EDWIN ORTIZ
11/05/2021 PRN383063
MARK E. PESICH
06/04/2014 PRN151126
SUZANNE MARIE PHILLIPS
05/30/2019 PRN84245
STEVEN POOLE
06/22/2022 PRN421722
TODD AARON POST
02/10/2023 PRN40484
PROGRESSIVE ADVANTAGE AGENCY INC
06/22/2009 AGN46978
PEGGY QUINTANA
04/21/2025 PRN313190
COLE TANNER RASMUSSEN
12/11/2018 PRN319069
DEBRA ANN ROZMIAREK
07/26/2006 PRN128087
CHRISTOPHER M. SALEMI
11/21/2019 PRN344112
CONSTANCE VIVIAN SHERMAN
07/27/2006 PRN63209
BRENDA LEE SMALLEY
03/26/2023 PRN445416
MELISSA SMIT
11/20/2024 PRN301282
KELSEY DIANE SMITH
03/26/2023 PRN338582
OLUWAKEMI SOBOYEJO
07/13/2022 PRN423203
CATHERINE STARKS
03/26/2023 PRN445461
DANIEL TERCERO
03/29/2023 PRN447606
JAMES THOMAS IV
12/27/2024 PRN268542
JONATHAN P. VAN NOIE
10/02/2012 PRN208291
JUDD D. VANDEHEI
11/25/2019 PRN344205
BRIAN WANEK
11/01/2018 PRN318663
GEORGIA WHITE
03/24/2023 PRN283155
JEFFREY BENNETT WINGATE
09/29/2022 PRN140424
RACHEL WINTERS
03/26/2023 PRN332074
MARGARET ANN WOLF
04/21/2025 PRN228792
NICHOLAS J. WOLF
12/02/2019 PRN345221
SANDRA YANG
08/09/2022 PRN425056
MONIQUE YBARRA
04/21/2025 PRN278162
TANYA K. ZORN
07/23/2021 PRN218159

Supervised Entity

None.

Authority

Description Issue Date Termination Date Status
HEALTH 06/27/2006 Active
HOMEOWNERS MULTIPLE PERIL 11/01/2005 Active
INLAND MARINE 11/01/2005 Active
OTHER LIABILITY 11/01/2005 Active
AUTO LIABILITY 11/01/2005 Active
AUTO PHYS DAMAGE 11/01/2005 Active
FEDERAL FLOOD INSURANCE 11/01/2005 Active

Contacts

Type Contact
PRODUCER LICENSING CONTACT SHIRLEY CHIN
SHIRLEY CHIN
290 CONGRESS ST STE 400
BOSTON, MA 02210-1033
Phone: +1 (617) 571-8801
Email: hgi.gb.licensing@homesite.com
SERVICE OF PROCESS CORPORATION SERVICE COMPANY
45 MEMORIAL CIR
AUGUSTA, ME 04330-6400
Phone: +1 (800) 927-9800
Fax: +1 (302) 636-5454
Email: sop@cscglobal.com

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN)

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: 10/11/2025 02:22:48 AM