black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JASON P. KARM

PRODUCER NON-RESIDENT

License Number:
PRN502218
Status:
First Licensure:
11/23/2024
Cancel Date:
None

Mailing:
SAN TAN VALLEY, AZ 85143
Phone:
+1 (920) 330-2287
Fax:
+1 (920) 330-5607
Email:
jason.karm@connectbyamfam.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 11/23/2024

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
HOMESITE INSURANCE COMPANY
12/18/2024 PCF249667 04/02/2025
HOMESITE INSURANCE COMPANY OF THE MIDWEST
12/18/2024 PCF116371 04/02/2025
MIDVALE INDEMNITY COMPANY
12/18/2024 PCF79410 04/02/2025

Authority

Description Issue Date Termination Date Status
CASUALTY 11/23/2024 Active
PROPERTY 11/23/2024 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
19018860

Other Addresses

Address Type
SAN TAN VALLEY, AZ 85143
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: 06/17/2025 03:24:08 PM