black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JASON D. BRANDT

PRODUCER NON-RESIDENT

License Number:
PRN296982
Status:
First Licensure:
10/28/2017
Cancel Date:
None

Mailing:
SUN PRAIRIE, WI 53590
Phone:
+1 (608) 692-6326
Email:
bandalicensing@amfam.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 10/28/2017

Agency

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN FAMILY BROKERAGE INC
10/28/2017 AGN214048

Employer

Name Issue Date License Number Expiration Date Cancel Date
AIG PROPERTY CASUALTY COMPANY
02/01/2018 PCF393
COMMERCE AND INDUSTRY INSURANCE COMPANY
02/01/2018 PCF413
NGM INSURANCE COMPANY
05/25/2023 PCF86

Authority

Description Issue Date Termination Date Status
CASUALTY 10/28/2017 Active
HEALTH 10/28/2017 Active
LIFE 10/28/2017 Active
PROPERTY 10/28/2017 Active
SURPLUS LINES 11/01/2017 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
15451754

Other Addresses

Address Type
6000 AMERICAN PKWY
MADISON, WI 53783-0001
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: 06/19/2025 09:00:11 AM