black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JACQUELINE HAYES

PRODUCER NON-RESIDENT

License Number:
PRN411414
Status:
First Licensure:
02/24/2022
Cancel Date:
None

Mailing:
SICKLERVILLE, NJ 08081
Phone:
+1 (800) 360-2277
Email:
licensing@americancollectors.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 02/24/2022

Agency

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN COLLECTORS INSURANCE LLC
04/01/2022 AGN229774

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN FAMILY HOME INSURANCE
03/18/2022 PCF201383
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
12/27/2024 PCF445

Authority

Description Issue Date Termination Date Status
CASUALTY 02/24/2022 Active
PROPERTY 02/24/2022 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
17891603

Other Addresses

Address Type
951 HADDONFIELD RD STE 2A
CHERRY HILL, NJ 08002-2783
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 10:43:05 PM