black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

ROBERT COULTER ELDRIDGE III

PRODUCER NON-RESIDENT

License Number:
PRN259303
Status:
First Licensure:
10/27/2015
Cancel Date:
None

Mailing:
KNOXVILLE, TN 37922
Phone:
+1 (865) 691-4847
Fax:
+1 (865) 694-4847
Email:
licensing@tisins.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 10/27/2015

Agency

Name Issue Date License Number Expiration Date Cancel Date
TIS INSURANCE SERVICES INC
10/27/2015 AGN54549

Employer

Name Issue Date License Number Expiration Date Cancel Date
ACE AMERICAN INSURANCE COMPANY
12/04/2015 PCF640
BANKERS STANDARD INSURANCE COMPANY
12/04/2015 PCF152165
INDEMNITY INSURANCE COMPANY OF NORTH AMERICA
12/04/2015 PCF50104
PACIFIC EMPLOYERS INSURANCE COMPANY
12/04/2015 PCF546

Authority

Description Issue Date Termination Date Status
CASUALTY 10/27/2015 Active
HEALTH 10/27/2015 Active
LIFE 10/27/2015 Active
PROPERTY 10/27/2015 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
551706

Other Addresses

Address Type
TIS INSURANCE SERVICES INC
1900 N WINSTON RD STE 100
KNOXVILLE, TN 37919-3605
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: 05/14/2025 01:04:00 AM