black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

KEITH JOHNSON

PRODUCER NON-RESIDENT

License Number:
PRN458493
Status:
First Licensure:
08/01/2023
Cancel Date:
None

Mailing:
COLORADO SPRINGS, CO 80920
Phone:
+1 (877) 776-2436
Fax:
+1 (440) 395-5516
Email:
keithjohnson@polly.co

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 08/01/2023

Agency

Name Issue Date License Number Expiration Date Cancel Date
POLLY INSURANCE AGENCY, LLC
08/02/2023 AGN269202 01/22/2024

Employer

Name Issue Date License Number Expiration Date Cancel Date
ALLIED PROPERTY AND CASUALTY INSURANCE COMPANY
08/01/2023 PCF223935 01/24/2024
ALLSTATE FIRE AND CASUALTY INSURANCE COMPANY
08/14/2023 PCF864 02/01/2024
ALLSTATE INDEMNITY COMPANY
08/14/2023 PCF522 02/01/2024
ALLSTATE INSURANCE COMPANY
08/14/2023 PCF354 02/01/2024
ALLSTATE PROPERTY AND CASUALTY INSURANCE COMPANY
08/14/2023 PCF84066 02/01/2024
AMCO INSURANCE COMPANY
08/01/2023 PCF223938 01/24/2024
BRISTOL WEST INSURANCE COMPANY
09/18/2023 PCF78370 02/06/2024
CONCORD GENERAL MUTUAL INSURANCE COMPANY
08/17/2023 PCF416 01/23/2024
DEPOSITORS INSURANCE COMPANY
08/01/2023 PCF223940 01/24/2024
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
09/18/2023 PCF445 02/06/2024
GREEN MOUNTAIN INSURANCE COMPANY INC
08/17/2023 PCF73 01/23/2024
MAIN STREET AMERICA ASSURANCE COMPANY
08/11/2023 PCF997
MAIN STREET AMERICA PROTECTION INSURANCE COMPANY
08/11/2023 PCF235440
MMG INSURANCE COMPANY
11/21/2023 PCD5
NATIONWIDE AGRIBUSINESS INSURANCE COMPANY
08/01/2023 PCF151937 01/24/2024
NATIONWIDE MUTUAL INSURANCE COMPANY
08/01/2023 PCF32 01/24/2024
NGM INSURANCE COMPANY
08/11/2023 PCF86
PROGRESSIVE NORTHERN INSURANCE COMPANY
08/22/2023 PCF51006 01/22/2024
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
08/22/2023 PCF27738 01/22/2024
VERMONT ACCIDENT INSURANCE COMPANY INC
08/17/2023 PCF883 01/23/2024

Authority

Description Issue Date Termination Date Status
CASUALTY 08/01/2023 Active
PROPERTY 08/01/2023 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
17882290

Other Addresses

Address Type
COLORADO SPRINGS, CO 80920
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: 05/14/2025 08:59:14 AM