black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

KATHI SIMON

PRODUCER NON-RESIDENT

License Number:
PRN255839
Status:
Active
First Licensure:
09/05/2015
Cancel Date:
None

Mailing:
PHOENIX, AZ 85024
Phone:
+1 (602) 666-4827
Email:
kathi.simon@usi.com

History
License Type Start Date End Date
PRODUCER NON-RESIDENT 09/05/2015

Agency
Name Issue Date License Number Expiration Date Cancel Date
USI INS SERVICES LLC
 12/12/2018 AGN147905
USI INSURANCE SERVICES NATIONAL INC
 09/05/2015 AGN57447 10/09/2019

Employer
Name Issue Date License Number Expiration Date Cancel Date
ACE AMERICAN INSURANCE COMPANY
 12/07/2016 PCF640
ACE FIRE UNDERWRITERS INSURANCE COMPANY
 12/07/2016 PCF43
ACE PROPERTY & CASUALTY INSURANCE COMPANY
 12/07/2016 PCF44
AMERICAN ECONOMY INSURANCE COMPANY
 09/25/2015 PCF363 03/12/2021
AMERICAN FIRE AND CASUALTY COMPANY
 09/25/2015 PCF200822
AMERICAN STATES INSURANCE COMPANY
 09/25/2015 PCF377 03/12/2021
THE CHARTER OAK FIRE INSURANCE COMPANY
 11/04/2015 PCF403
EXCELSIOR INSURANCE COMPANY
 09/25/2015 PCF46786 04/26/2024
FEDERAL INSURANCE COMPANY
 12/07/2016 PCF439
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
 09/29/2015 PCF445 05/25/2018
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
 06/05/2018 PCF445 11/12/2018
FOREMOST PROPERTY AND CASUALTY INSURANCE COMPANY
 09/29/2015 PCF37337 05/25/2018
FOREMOST PROPERTY AND CASUALTY INSURANCE COMPANY
 06/05/2018 PCF37337 11/12/2018
FOREMOST SIGNATURE INSURANCE COMPANY
 09/29/2015 PCF176307 05/25/2018
FOREMOST SIGNATURE INSURANCE COMPANY
 06/05/2018 PCF176307 11/12/2018
GENERAL INSURANCE COMPANY OF AMERICA
 09/25/2015 PCF447 03/12/2021
NETHERLANDS INSURANCE COMPANY
 09/25/2015 PCF827 04/26/2024
OHIO CASUALTY INSURANCE COMPANY
 09/25/2015 PCF73059 03/12/2021
OHIO SECURITY INSURANCE COMPANY
 09/25/2015 PCF200581
PEERLESS INDEMNITY INSURANCE COMPANY
 09/25/2015 PCF97399 12/23/2021
PEERLESS INSURANCE COMPANY
 09/25/2015 PCF548
THE PHOENIX INSURANCE COMPANY
 11/04/2015 PCF557
ST. PAUL FIRE AND MARINE INSURANCE COMPANY
 11/04/2015 PCF575 07/11/2017
ST. PAUL MERCURY INSURANCE COMPANY
 11/04/2015 PCF576 07/11/2017
THE STANDARD FIRE INSURANCE COMPANY
 11/04/2015 PCF584
TRAVELERS CASUALTY AND SURETY COMPANY
 11/04/2015 PCF348
TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA
 11/04/2015 PCF974
TRAVELERS COMMERCIAL CASUALTY COMPANY
 11/04/2015 PCF83507 07/18/2018
THE TRAVELERS INDEMNITY COMPANY OF AMERICA
 11/04/2015 PCF585
THE TRAVELERS INDEMNITY COMPANY OF CONNECTICUT
 11/04/2015 PCF435 07/18/2018
THE TRAVELERS INDEMNITY COMPANY
 11/04/2015 PCF602
TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA
 11/04/2015 PCF711
WEST AMERICAN INSURANCE COMPANY
 09/25/2015 PCF200576
WESTCHESTER FIRE INSURANCE COMPANY
 12/07/2016 PCF177973
WESTERN SURETY COMPANY
 07/25/2019 PCF96

Authority
Description Issue Date Termination Date Status
CASUALTY 09/05/2015 Active
PROPERTY 09/05/2015 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
11980660

Other Addresses
Address Type
2375 E CAMELBACK RD STE 740
PHOENIX, AZ 85016-3424
 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 08:20:00 PM