black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JACOB AUSTIN ANDERSON

PRODUCER NON-RESIDENT

License Number:
PRN398717
Status:
First Licensure:
10/06/2021
Cancel Date:
None

Mailing:
LEAVENWORTH, KS 66048
Phone:
+1 (913) 727-5550
Fax:
+1 (800) 818-7731
Email:
jacob.anderson@afi.org

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 10/06/2021

Agency

Name Issue Date License Number Expiration Date Cancel Date
RSG SPECIALTY LLC
07/21/2025 AGN176560

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN MODERN HOME INSURANCE COMPANY
11/08/2021 PCF808 09/15/2022
ARMED FORCES INSURANCE EXCHANGE
11/02/2021 PCF1014 09/06/2022
BRISTOL WEST INSURANCE COMPANY
11/10/2021 PCF78370 09/22/2022
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
11/10/2021 PCF445 09/22/2022

Authority

Description Issue Date Termination Date Status
CASUALTY 10/06/2021 Active
PROPERTY 10/06/2021 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
20073698

Other Addresses

Address Type
550 EISENHOWER RD
LEAVENWORTH, KS 66048-1190
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: 12/21/2025 02:40:17 AM