black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

MARK RAMSEY BROCK

PRODUCER NON-RESIDENT

License Number:
PRN160426
Status:
First Licensure:
11/14/2008
Cancel Date:
None

Mailing:
ROSSVILLE, GA 30741
Phone:
+1 (706) 866-3394
Fax:
+1 (706) 861-4619
Email:
conniew@brockins.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 11/14/2008

Agency

Name Issue Date License Number Expiration Date Cancel Date
BROCK INSURANCE AGENCY INC
11/14/2008 AGN55941

Employer

Name Issue Date License Number Expiration Date Cancel Date
ACE AMERICAN INSURANCE COMPANY
03/05/2016 PCF640
ALLIED INSURANCE COMPANY OF AMERICA
12/08/2020 PCF216138
ALLIED PROPERTY AND CASUALTY INSURANCE COMPANY
12/08/2020 PCF223935
AMCO INSURANCE COMPANY
12/08/2020 PCF223938
AMERICAN GUARANTEE & LIABILITY INSURANCE COMPANY
01/02/2009 PCF366
AMERICAN ZURICH INSURANCE COMPANY
01/02/2009 PCF914
ARCH INSURANCE COMPANY
01/26/2012 PCF62719
BANKERS STANDARD INSURANCE COMPANY
03/05/2016 PCF152165
DEPOSITORS INSURANCE COMPANY
12/08/2020 PCF223940
FEDERAL INSURANCE COMPANY
12/12/2008 PCF439
INDEMNITY INSURANCE COMPANY OF NORTH AMERICA
03/05/2016 PCF50104
NATIONWIDE AGRIBUSINESS INSURANCE COMPANY
12/08/2020 PCF151937
NATIONWIDE ASSURANCE COMPANY
12/08/2020 PCF38952
NATIONWIDE GENERAL INSURANCE COMPANY
12/08/2020 PCF30
NATIONWIDE INSURANCE COMPANY OF AMERICA
12/08/2020 PCF422
NATIONWIDE MUTUAL FIRE INSURANCE COMPANY
12/08/2020 PCF31 01/01/2023
NATIONWIDE MUTUAL INSURANCE COMPANY
12/08/2020 PCF32
NATIONWIDE PROPERTY & CASUALTY INSURANCE COMPANY
12/08/2020 PCF151089
PACIFIC EMPLOYERS INSURANCE COMPANY
03/05/2016 PCF546
ZURICH AMERICAN INSURANCE COMPANY
01/02/2009 PCF61397
ZURICH AMERICAN INSURANCE COMPANY OF ILLINOIS
05/07/2009 PCF165251

Authority

Description Issue Date Termination Date Status
CASUALTY 11/14/2008 Active
PROPERTY 11/14/2008 Active

Responsible For

Name License Number
BROCK INSURANCE AGENCY INC AGN55941

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
1301044

Other Addresses

Address Type
823 CHICKAMAUGA AVE
ROSSVILLE, GA 30741-1476
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: 05/14/2025 09:22:35 PM