black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

ASSUREDPARTNERS CAPITAL INC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN283749
Status:
Active
First Licensure:
03/09/2017
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
450 S ORANGE AVE FL 4
ORLANDO, FL 32801-3383
Mailing:
450 S ORANGE AVE FL 4
ORLANDO, FL 32801-3383
Phone:
+1 (864) 626-5592
Email:
kathy.kelleysmith@assuredpartners.com

History
License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 03/09/2017 04/01/2027

Employer
Name Issue Date License Number Expiration Date Cancel Date
AGCS MARINE INSURANCE COMPANY
 06/10/2019 PCF48335 10/23/2019
ALLIANZ GLOBAL RISKS US INSURANCE COMPANY
 06/10/2019 PCF780 10/23/2019
ALLMERICA FINANCIAL BENEFIT INSURANCE COMPANY
 04/28/2022 PCF145893
AMERICAN CONTRACTORS INDEMNITY COMPANY
 12/06/2022 PCF81110
AMERICAN ECONOMY INSURANCE COMPANY
 11/29/2021 PCF363 11/10/2023
AMERICAN FAMILY HOME INSURANCE
 04/11/2023 PCF201383
ARCH INDEMNITY INSURANCE COMPANY
 01/31/2022 PCF674
ARCH INSURANCE COMPANY
 10/17/2018 PCF62719
ASCOT INSURANCE COMPANY
 08/19/2020 PCF58646
BRISTOL WEST INSURANCE COMPANY
 02/22/2021 PCF78370
COUNTRY MUTUAL INSURANCE COMPANY
 09/27/2019 PCF78610
ENCOMPASS INSURANCE COMPANY OF AMERICA
 05/07/2018 PCF90705
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
 02/22/2021 PCF445
HDI GLOBAL INSURANCE COMPANY
 01/27/2023 PCF167923
JEWELERS MUTUAL INSURANCE COMPANY, SI
 09/03/2024 PCF773
LEXON INSURANCE COMPANY
 03/09/2023 PCF109668
MAIN STREET AMERICA ASSURANCE COMPANY
 01/17/2025 PCF997
MANUFACTURERS ALLIANCE INSURANCE COMPANY
 02/16/2022 PCF82408
MARKEL INSURANCE COMPANY
 03/29/2023 PCF31382
MIDVALE INDEMNITY COMPANY
 01/17/2025 PCF79410
NETHERLANDS INSURANCE COMPANY
 10/18/2018 PCF827 11/09/2021
NGM INSURANCE COMPANY
 01/17/2025 PCF86
PEERLESS INSURANCE COMPANY
 10/18/2018 PCF548 11/09/2021
PENNSYLVANIA MANUFACTURERS INDEMNITY COMPANY
 02/16/2022 PCF82412
PENNSYLVANIA MANUFACTURERS' ASSOCIATION INSURANCE COMPANY
 02/16/2022 PCF82421
PHILADELPHIA INDEMNITY INSURANCE COMPANY
 03/06/2019 PCF46041
PRIVILEGE UNDERWRITERS RECIPROCAL EXCHANGE
 09/26/2021 PCF212805
PRUCO LIFE INSURANCE COMPANY
 08/19/2021 LHF768 12/18/2023
SAFECO NATIONAL INSURANCE COMPANY
 10/18/2018 PCF248658 11/09/2021
SAFECO NATIONAL INSURANCE COMPANY
 11/29/2021 PCF248658 11/10/2023
SELECTIVE INSURANCE COMPANY OF NEW YORK
 04/09/2018 PCF437
SENECA INSURANCE COMPANY INC
 03/31/2023 PCF803
ST. PAUL FIRE AND MARINE INSURANCE COMPANY
 05/17/2018 PCF575 08/07/2019
ST. PAUL GUARDIAN INSURANCE COMPANY
 05/17/2018 PCF701 08/07/2019
ST. PAUL MERCURY INSURANCE COMPANY
 05/17/2018 PCF576 08/07/2019
US SPECIALTY INSURANCE COMPANY
 12/06/2022 PCF31516

Affiliated Agent
Name Issue Date License Number Expiration Date Cancel Date
ERIC ANDERSON
 03/09/2017 PRN192992
MATTHEW D. BEVINS
 07/18/2022 PRN379118

Branch Office

None.

Supervised Entity

None.

Responsible Individual
Name License Number
ERIC ANDERSON PRN192992

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
16472739

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: 05/13/2025 01:14:28 PM