black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

ACCRETIVE GLOBAL INSURANCE SERVICES, LLC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN415278
Status:
First Licensure:
04/05/2022
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
20 N ORANGE AVE STE 500
ORLANDO, FL 32801-4602
Mailing:
20 N ORANGE AVE STE 500
ORLANDO, FL 32801-4602
Phone:
+1 (864) 626-5592
Email:
kathy.kelleysmith@assuredpartners.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 04/05/2022 04/01/2027

Alias, DBA or Trade Name

Name
PLATINUM WORKSITE BENEFITS INSURANCE AGENCY

Employer

Name Issue Date License Number Expiration Date Cancel Date
GREAT AMERICAN INSURANCE COMPANY
12/22/2022 PCF764

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
JUSTIN ALLEN WILEY
04/05/2022 PRN285352

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
JUSTIN ALLEN WILEY PRN285352

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
19836846

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: 06/20/2025 01:06:03 PM