black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

KHADEJA MONAE HAYNES

PRODUCER NON-RESIDENT

License Number:
PRN452411
Status:
First Licensure:
05/23/2023
Cancel Date:
None

Mailing:
ORANGEBURG, SC 29118
Phone:
+1 (866) 774-8570 x788127
Fax:
+1 (585) 440-9443
Email:
khadejahaynes@gmail.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 05/23/2023

Agency

Name Issue Date License Number Expiration Date Cancel Date
SUTHERLAND GLOBAL SERVICES
05/23/2023 AGN111757

Employer

Name Issue Date License Number Expiration Date Cancel Date
BERKSHIRE HATHAWAY DIRECT INSURANCE COMPANY
07/14/2023 PCF261380
NATIONAL LIABILITY & FIRE INSURANCE COMPANY
07/14/2023 PCF50199
WELLFLEET INSURANCE COMPANY
07/13/2023 PCF295569
WELLFLEET NEW YORK INSURANCE COMPANY
07/13/2023 PCF324

Authority

Description Issue Date Termination Date Status
CASUALTY 05/23/2023 Active
PROPERTY 05/23/2023 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
19208769

Other Addresses

Address Type
1160 PITTSFORD VICTOR RD
PITTSFORD, NY 14534-3825
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: 05/16/2025 12:01:51 PM