black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JEFFREY R. VICK

PRODUCER NON-RESIDENT

License Number:
PRN291094
Status:
First Licensure:
08/04/2017
Cancel Date:
None

Mailing:
MAPLE PARK, IL 60151
Phone:
+1 (678) 433-6044
Email:
jvick@blueriveruw.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 08/04/2017

Agency

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN FAMILY BROKERAGE INC
05/30/2025 AGN214048
BRECKENRIDGE INS SERVICES LLC
08/04/2017 AGN195510 09/12/2024

Employer

Name Issue Date License Number Expiration Date Cancel Date
BERKLEY LIFE AND HEALTH INSURANCE COMPANY
12/05/2018 LHF14
NOVA CASUALTY COMPANY
12/06/2017 PCF120494
STARNET INSURANCE COMPANY
12/05/2018 PCF103936

Authority

Description Issue Date Termination Date Status
CASUALTY 08/04/2017 Active
HEALTH 08/04/2017 Active
LIFE 08/04/2017 Active
PROPERTY 08/04/2017 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
2130667

Other Addresses

Address Type
MAPLE PARK, IL 60151
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: 06/23/2025 02:08:26 PM