black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JOHN JEFFREY NELSON

PRODUCER NON-RESIDENT

License Number:
PRN415504
Status:
First Licensure:
04/07/2022
Cancel Date:
None

Mailing:
WESTLAKE VILLAGE, CA 91361
Phone:
+1 (800) 801-2300 x400
Fax:
+1 (818) 575-2337
Email:
wpregulatorylicensing@warnerpacific.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 04/07/2022

Agency

Name Issue Date License Number Expiration Date Cancel Date
BLACK GOULD & ASSOCIATES INC
05/15/2025 AGN46164
NORTH RANCH INSURANCE SERVICES, INC.
06/22/2022 AGN421779
WARNER PACIFIC INSURANCE SERVICES, INC.
04/09/2022 AGN415727

Employer

Name Issue Date License Number Expiration Date Cancel Date
AETNA HEALTH INC
06/08/2025 HMD45749
AMERITAS LIFE INSURANCE CORP
05/17/2022 LHF944
CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE COMPANY
05/02/2022 LHF214634
SIERRA HEALTH AND LIFE INSURANCE COMPANY INC.
05/02/2022 LHF58195
UNITEDHEALTHCARE INSURANCE COMPANY
05/02/2022 LHF700
UNITEDHEALTHCARE OF WISCONSIN, INC.
03/26/2023 HMF376407
ZURICH AMERICAN INSURANCE COMPANY
06/03/2024 PCF61397

Authority

Description Issue Date Termination Date Status
HEALTH 04/07/2022 Active
LIFE 04/07/2022 Active

Responsible For

Name License Number
BLACK GOULD & ASSOCIATES INC AGN46164
NORTH RANCH INSURANCE SERVICES, INC. AGN421779
WARNER PACIFIC INSURANCE SERVICES, INC. AGN415727

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
2718798

Other Addresses

Address Type
WESTLAKE VILLAGE, CA 91361
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: 06/29/2025 05:40:33 AM