black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JORGE RAUL DUMOIS DIAZ

PRODUCER NON-RESIDENT

License Number:
PRN299070
Status:
First Licensure:
11/30/2017
Cancel Date:
None

Mailing:
LAS VEGAS, NV 89103
Phone:
+1 (920) 330-2143
Fax:
+1 (920) 330-5124
Email:
jorge.dumoisdiaz@connectbyamfam.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 11/30/2017

Agency

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN FAMILY CONNECT INSURANCE AGENCY INC
06/21/2023 AGN121078

Employer

Name Issue Date License Number Expiration Date Cancel Date
BRISTOL WEST INSURANCE COMPANY
07/24/2023 PCF78370
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
07/24/2023 PCF445
HOMESITE INSURANCE COMPANY OF THE MIDWEST
05/05/2023 PCF116371
MIDVALE INDEMNITY COMPANY
05/05/2023 PCF79410
PROGRESSIVE NORTHERN INSURANCE COMPANY
08/15/2023 PCF51006
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
08/15/2023 PCF27738
SIERRA HEALTH AND LIFE INSURANCE COMPANY INC.
11/30/2017 LHF58195 12/11/2018
UNITEDHEALTHCARE INSURANCE COMPANY
11/30/2017 LHF700 12/11/2018
UNITEDHEALTHCARE INSURANCE COMPANY OF AMERICA
11/30/2017 LHF983 12/11/2018

Authority

Description Issue Date Termination Date Status
CASUALTY 05/05/2023 Active
HEALTH 11/30/2017 Active
PROPERTY 05/05/2023 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
18599556

Other Addresses

Address Type
6750 VIA AUSTI PKWY STE 300
LAS VEGAS, NV 89119-3562
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: 06/21/2025 01:41:12 AM