black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

SIMON BROTZ

PRODUCER NON-RESIDENT

License Number:
PRN199992
Status:
First Licensure:
02/14/2012
Cancel Date:
None

Mailing:
GREEN BAY, WI 54313
Phone:
+1 (920) 330-5351
Fax:
+1 (920) 330-5560
Email:
simon.brotz@connectbyamfam.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 02/14/2012

Agency

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN FAMILY CONNECT INSURANCE AGENCY INC
04/05/2013 AGN121078
APAC CUSTOMER SERVICES INC
02/27/2012 AGN49929 01/28/2013

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN FAMILY CONNECT PROPERTY AND CASUALTY INSURANCE COMPANY
04/05/2013 PCF120263 01/27/2021
AMERICAN MODERN HOME INSURANCE COMPANY
04/12/2013 PCF808 10/27/2023
AMERICAN MODERN PROPERTY & CASUALTY INSURANCE COMPANY
09/14/2020 PCF234561
AMEX ASSURANCE COMPANY
02/22/2012 PCF875 01/22/2013
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
04/18/2013 PCF445 05/17/2022
HOMESITE INSURANCE COMPANY OF THE MIDWEST
10/23/2017 PCF116371
MIDVALE INDEMNITY COMPANY
04/19/2019 PCF79410
PROGRESSIVE NORTHERN INSURANCE COMPANY
04/19/2013 PCF51006
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
04/19/2013 PCF27738
RLI INSURANCE COMPANY
04/08/2013 PCF695 11/07/2024

Authority

Description Issue Date Termination Date Status
CASUALTY 02/14/2012 Active
HEALTH 02/14/2012 Active
PROPERTY 02/14/2012 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
16524918

Other Addresses

Address Type
CONNECT POWERED BY AMERICAN FAMILY INSURANCE
3500 PACKERLAND DR
DE PERE, WI 54115-9034
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: 05/15/2025 08:08:23 AM