black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

DARALISA DIXON

PRODUCER NON-RESIDENT

License Number:
PRN502562
Status:
First Licensure:
11/28/2024
Cancel Date:
None

Mailing:
GREENWOOD VILLAGE, CO 80112
Phone:
+1 (920) 330-5100
Fax:
+1 (920) 330-5607
Email:
lisa.dixon@connectbyamfam.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 11/28/2024

Agency

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN FAMILY CONNECT INSURANCE AGENCY INC
01/14/2025 AGN121078

Employer

Name Issue Date License Number Expiration Date Cancel Date
BRISTOL WEST INSURANCE COMPANY
09/11/2025 PCF78370
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
09/11/2025 PCF445
HOMESITE INSURANCE COMPANY
12/09/2024 PCF249667
HOMESITE INSURANCE COMPANY OF THE MIDWEST
12/09/2024 PCF116371
MIDVALE INDEMNITY COMPANY
12/09/2024 PCF79410
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
01/17/2025 PCF27738

Authority

Description Issue Date Termination Date Status
PERSONAL LINES 11/28/2024 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
12502641

Other Addresses

Address Type
7550 S BLACKHAWK ST APT 9202
ENGLEWOOD, CO 80112-4300
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: 10/10/2025 06:09:04 AM