black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

ANN KIMBALL HENDERSON GUSTAFSON

PRODUCER NON-RESIDENT

License Number:
PRN227178
Status:
First Licensure:
12/28/2013
Cancel Date:
None

Mailing:
CHARLESTON, SC 29412
Phone:
+1 (843) 814-5878
Fax:
+1 (843) 867-3973
Email:
annkimball@sis-agency.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 12/28/2013

Agency

Name Issue Date License Number Expiration Date Cancel Date
PRIVILEGE UNDERWRITERS INC
01/15/2021 AGN126161 08/14/2025

Employer

Name Issue Date License Number Expiration Date Cancel Date
PRIVILEGE UNDERWRITERS RECIPROCAL EXCHANGE
12/25/2016 PCF212805 04/28/2021
PRIVILEGE UNDERWRITERS RECIPROCAL EXCHANGE
04/28/2021 PCF212805

Authority

Description Issue Date Termination Date Status
CASUALTY 12/28/2013 Active
PROPERTY 12/28/2013 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
8329982

Other Addresses

Address Type
177 MEETING ST STE 300
CHARLESTON, SC 29401-3204
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: 11/06/2025 11:42:12 AM