black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

PERRY DAVID VAN DILLEN

PRODUCER NON-RESIDENT

License Number:
PRN284167
Status:
First Licensure:
03/17/2017
Cancel Date:
None

Mailing:
GRAND RAPIDS, MI 49501
Phone:
+1 (800) 237-2060
Fax:
+1 (302) 442-9913
Email:
perry-david.van.dillen@farmersinsurance.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 03/17/2017

Agency

Name Issue Date License Number Expiration Date Cancel Date
FOREMOST EXPRESS INSURANCE AGENCY INC
01/17/2018 AGN17008 12/18/2018
FX INSURANCE AGENCY LLC
12/18/2018 AGN134746
KRAFT LAKE INSURANCE AGENCY
05/16/2025 AGN147376

Employer

Name Issue Date License Number Expiration Date Cancel Date
BRISTOL WEST INSURANCE COMPANY
03/06/2020 PCF78370
FARMERS CASUALTY INSURANCE COMPANY
05/30/2024 PCF895
FARMERS DIRECT PROPERTY AND CASUALTY INSURANCE COMPANY
05/30/2024 PCF267721 08/14/2024
FARMERS DIRECT PROPERTY AND CASUALTY INSURANCE COMPANY
04/14/2025 PCF267721
FARMERS PROPERTY AND CASUALTY INSURANCE COMPANY
05/30/2024 PCF714
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
03/21/2017 PCF445
FOREMOST PROPERTY AND CASUALTY INSURANCE COMPANY
03/21/2017 PCF37337
PROGRESSIVE NORTHERN INSURANCE COMPANY
01/12/2024 PCF51006 02/11/2025
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
01/12/2024 PCF27738 02/11/2025

Authority

Description Issue Date Termination Date Status
CASUALTY 03/17/2017 Active
PROPERTY 03/17/2017 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
16465888

Other Addresses

Address Type
FX INSURANCE AGENCY LLC
5665 N KRAFT LK SE
CALEDONIA, MI 49316-9759
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: 05/20/2025 02:28:18 AM