black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

CAMP WEST

ADJUSTER NON-RESIDENT

License Number:
ADN303002
Status:
First Licensure:
02/10/2018
Cancel Date:
None
Renewal Date:
01/01/2026

Mailing:
FORT WORTH, TX 76106
Phone:
+1 (817) 570-6109
Fax:
+1 (877) 226-7591
Email:
upsclciensing@ups.com

History

License Type Start Date End Date
ADJUSTER NON-RESIDENT 04/29/2020 01/01/2026
*** NOT ACTIVE *** 04/01/2020 04/28/2020
ADJUSTER NON-RESIDENT 02/10/2018 03/31/2020

Agency

Name Issue Date License Number Expiration Date Cancel Date
UPS CAPITAL INS AGENCY INC
02/10/2018 AFN262546 04/01/2020
UPS CAPITAL INS AGENCY INC
04/29/2020 AFN262546

Authority

Description Issue Date Termination Date Status Additional Information
LIMITED TO HOME STATE 04/29/2020 Active
Designated State:
Texas
LIMITED TO HOME STATE 02/10/2018 04/01/2020 Terminated
Designated State:
Texas

License/Disciplinary Action

None.

PRODUCER NON-RESIDENT

License Number:
PRN264598
Status:
First Licensure:
02/23/2016
Cancel Date:
None

Mailing:
FORT WORTH, TX 76106
Phone:
+1 (817) 570-6109
Fax:
+1 (877) 226-7591
Email:
upsclciensing@ups.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 02/23/2016

Agency

Name Issue Date License Number Expiration Date Cancel Date
UPS CAPITAL INSURANCE AGENCY INC
02/23/2016 AGN59145

Employer

Name Issue Date License Number Expiration Date Cancel Date
AIG PROPERTY CASUALTY COMPANY
11/23/2016 PCF393
INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA
11/23/2016 PCF482
NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH PA
11/23/2016 PCF527
NEW HAMPSHIRE INSURANCE COMPANY
11/23/2016 PCF531

Authority

Description Issue Date Termination Date Status
CASUALTY 02/23/2016 Active
PROPERTY 02/23/2016 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
17606521

Other Addresses

Address Type
4100 INTERNATIONAL PLZ
FT WORTH, TX 76109-4820
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: 05/25/2025 12:42:18 AM