black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

CONSUMER AGENT PORTAL LLC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN225249
Status:
First Licensure:
11/13/2013
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
2262 26TH AVE NW
NEW BRIGHTON, MN 55112-5006
Mailing:
2262 26TH AVE NW
NEW BRIGHTON, MN 55112-5006
Phone:
+1 (952) 715-5927
Fax:
+1 (952) 715-5916
Email:
janice.carlson@trustedchoice.com

History

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

Alias, DBA or Trade Name

Name
AMERICAN VISTA INSURANCE AGENCY

Employer

Name Issue Date License Number Expiration Date Cancel Date
CONCORD GENERAL MUTUAL INSURANCE COMPANY
12/18/2013 PCF416
FARMERS CASUALTY INSURANCE COMPANY
03/05/2021 PCF895 11/22/2024
FARMERS DIRECT PROPERTY AND CASUALTY INSURANCE COMPANY
09/03/2019 PCF267721 04/29/2020
FARMERS PROPERTY AND CASUALTY INSURANCE COMPANY
09/17/2014 PCF714 11/22/2024
GREEN MOUNTAIN INSURANCE COMPANY INC
12/18/2013 PCF73
MMG INSURANCE COMPANY
12/04/2013 PCD5
NETHERLANDS INSURANCE COMPANY
01/06/2014 PCF827 05/10/2024
PEERLESS INSURANCE COMPANY
01/06/2014 PCF548
STATE MUTUAL INSURANCE COMPANY
12/18/2013 PCD102
VERMONT ACCIDENT INSURANCE COMPANY INC
12/18/2013 PCF883

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
CHARLES J. BACCIOCCO
11/13/2013 PRN216034

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
CHARLES J. BACCIOCCO PRN216034

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
16981769

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: 05/19/2025 04:46:51 PM