black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

INSURANCEHUB LEAVITT AGENCY INC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN199921
Status:
Active
First Licensure:
02/11/2012
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
INSURANCEHUB LEAVITT AGENCY INC
1720 LAKES PKWY
LAWRENCEVILLE, GA 30043-8927
Mailing:
INSURANCEHUB LEAVITT AGENCY INC
1720 LAKES PKWY
LAWRENCEVILLE, GA 30043-8927
Phone:
+1 (770) 497-1200
Fax:
+1 (770) 497-8721
Email:
licensing@insurancehub.com

History
License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 02/11/2012 04/01/2027

Alias, DBA or Trade Name
Name
VICKERS, OWNERS & BLAZINA INSURANCE SERVICES, INC.

Employer
Name Issue Date License Number Expiration Date Cancel Date
ACUITY A MUTUAL INSURANCE COMPANY
 04/22/2021 PCF155357
ALLIED INSURANCE COMPANY OF AMERICA
 03/16/2022 PCF216138
EMPLOYERS INSURANCE COMPANY OF WAUSAU
 02/23/2012 PCF434
FIRST LIBERTY INSURANCE CORPORATION
 02/23/2012 PCF31779
HUMANA INSURANCE COMPANY
 02/19/2014 LHF980 05/04/2015
LIBERTY INSURANCE CORPORATION
 02/23/2012 PCF999
LIBERTY MUTUAL FIRE INSURANCE COMPANY
 02/23/2012 PCF330
LIBERTY MUTUAL INSURANCE COMPANY
 02/23/2012 PCF331
LM INSURANCE CORPORATION
 02/23/2012 PCF31778
NATIONWIDE AGRIBUSINESS INSURANCE COMPANY
 03/16/2022 PCF151937
NATIONWIDE ASSURANCE COMPANY
 03/16/2022 PCF38952
NATIONWIDE GENERAL INSURANCE COMPANY
 03/16/2022 PCF30
NATIONWIDE INSURANCE COMPANY OF AMERICA
 03/16/2022 PCF422
NATIONWIDE MUTUAL FIRE INSURANCE COMPANY
 03/16/2022 PCF31 01/01/2023
NATIONWIDE MUTUAL INSURANCE COMPANY
 03/16/2022 PCF32
NATIONWIDE PROPERTY & CASUALTY INSURANCE COMPANY
 03/16/2022 PCF151089
PHILADELPHIA INDEMNITY INSURANCE COMPANY
 04/05/2021 PCF46041
PROGRESSIVE NORTHERN INSURANCE COMPANY
 06/14/2021 PCF51006
SECURITY NATIONAL INSURANCE COMPANY
 11/14/2017 PCF189490
ST. PAUL FIRE AND MARINE INSURANCE COMPANY
 01/30/2024 PCF575
TECHNOLOGY INSURANCE COMPANY INC
 02/14/2012 PCF136874
WAUSAU BUSINESS INSURANCE COMPANY
 02/23/2012 PCF47449 03/30/2015
WAUSAU UNDERWRITERS INSURANCE COMPANY
 02/23/2012 PCF833 08/27/2015
WESCO INSURANCE COMPANY
 02/14/2012 PCF49735

Affiliated Agent
Name Issue Date License Number Expiration Date Cancel Date
DAVID LYNN BRIDGES
 02/11/2012 PRN88544
ELIZABETH ALYCE GRICE
 08/22/2013 PRN135812
KRISTINA POLLARD INSLEY
 02/19/2025 PRN400963
JAMES CRAWFORD LLOYD
 01/06/2022 PRN312125

Branch Office

None.

Supervised Entity

None.

Responsible Individual
Name License Number
KRISTINA POLLARD INSLEY PRN400963

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
7339093

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 03:51:50 AM