black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

RIVIAN INSURANCE SERVICES, LLC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN376480
Status:
First Licensure:
02/27/2021
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
100 N RIVIAN MTWY
NORMAL, IL 61761-8000
Mailing:
100 N RIVIAN MTWY
NORMAL, IL 61761-8000
Phone:
+1 (888) 748-4268
Fax:
+1 (309) 287-4014
Email:
insurance@rivian.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 02/27/2021 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
ALLIED INSURANCE COMPANY OF AMERICA
03/16/2021 PCF216138
ALLIED PROPERTY AND CASUALTY INSURANCE COMPANY
03/16/2021 PCF223935
AMCO INSURANCE COMPANY
03/16/2021 PCF223938
DEPOSITORS INSURANCE COMPANY
03/16/2021 PCF223940
NATIONWIDE AGRIBUSINESS INSURANCE COMPANY
03/16/2021 PCF151937
NATIONWIDE ASSURANCE COMPANY
03/16/2021 PCF38952
NATIONWIDE GENERAL INSURANCE COMPANY
03/16/2021 PCF30
NATIONWIDE INSURANCE COMPANY OF AMERICA
03/16/2021 PCF422
NATIONWIDE MUTUAL FIRE INSURANCE COMPANY
03/16/2021 PCF31 01/01/2023
NATIONWIDE MUTUAL INSURANCE COMPANY
03/16/2021 PCF32
NATIONWIDE PROPERTY & CASUALTY INSURANCE COMPANY
03/16/2021 PCF151089
PROGRESSIVE NORTHERN INSURANCE COMPANY
07/18/2024 PCF51006
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
07/18/2024 PCF27738

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
KIMBERLY J. ASHBY
01/03/2025 PRN388729
TARA L. CONKLIN
03/15/2022 PRN413240
MARK A. ELDREDGE
06/13/2023 PRN454169
TIMOTHY JAMES HAUGAARD
08/24/2022 PRN372099
HILARY NEAL
09/30/2022 PRN432559
SHYLO D. RICH
04/14/2021 PRN380441
CHRISTIAN ROSENBECK
05/30/2023 PRN452992
ANGELA KAYE SOVEY
10/27/2023 PRN468239
ALLISON S. WADE
03/08/2023 PRN445777

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
KIMBERLY J. ASHBY PRN388729

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
19709384

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: 11/16/2025 01:26:26 AM