black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JASON YOUNG MOON

PRODUCER NON-RESIDENT

License Number:
PRN458540
Status:
First Licensure:
08/01/2023
Cancel Date:
None

Mailing:
LAS VEGAS, NV 89178
Phone:
+1 (800) 842-3344
Fax:
+1 (920) 330-5607
Email:
jason.moon@connectbyamfam.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 08/01/2023

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
BRISTOL WEST INSURANCE COMPANY
08/14/2023 PCF78370
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
08/14/2023 PCF445
HOMESITE INSURANCE COMPANY OF THE MIDWEST
08/27/2023 PCF116371
MIDVALE INDEMNITY COMPANY
08/27/2023 PCF79410
PROGRESSIVE NORTHERN INSURANCE COMPANY
08/29/2023 PCF51006
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
08/29/2023 PCF27738

Authority

Description Issue Date Termination Date Status
CASUALTY 08/01/2023 Active
PROPERTY 08/01/2023 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
9180721

Other Addresses

Address Type
CONNECT POWERED BY AMERICAN FAMILY INSURANCE
8912 SPANISH RIDGE AVE
LAS VEGAS, NV 89148-1306
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: 05/15/2025 04:14:10 AM