black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

LISA SANFORD CHAMPAGNE

PRODUCER NON-RESIDENT

License Number:
PRN103039
Status:
First Licensure:
04/28/2004
Cancel Date:
None

Mailing:
HEATHROW, FL 32746
Phone:
+1 (407) 829-6622
Fax:
+1 (407) 771-4151
Email:
lisa.champagne@libertymutual.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 04/28/2004

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
BRISTOL WEST INSURANCE COMPANY
09/22/2025 PCF78370
FIRST LIBERTY INSURANCE CORPORATION
06/03/2004 PCF31779 03/17/2017
FIRST LIBERTY INSURANCE CORPORATION
08/23/2024 PCF31779
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
09/22/2025 PCF445
LIBERTY INSURANCE CORPORATION
06/03/2004 PCF999
LIBERTY MUTUAL FIRE INSURANCE COMPANY
06/03/2004 PCF330 03/17/2017
LIBERTY MUTUAL FIRE INSURANCE COMPANY
05/07/2024 PCF330
LIBERTY MUTUAL INSURANCE COMPANY
04/05/2007 PCF331 03/17/2017
LIBERTY MUTUAL INSURANCE COMPANY
01/16/2020 PCF331
LIBERTY MUTUAL PERSONAL INSURANCE COMPANY
04/03/2020 PCF301005
LM GENERAL INSURANCE COMPANY
07/08/2011 PCF996
LM INSURANCE CORPORATION
07/08/2011 PCF31778
OHIO CASUALTY INSURANCE COMPANY
03/16/2021 PCF73059
OHIO SECURITY INSURANCE COMPANY
07/24/2018 PCF200581
PROGRESSIVE NORTHERN INSURANCE COMPANY
05/13/2025 PCF51006
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
05/13/2025 PCF27738

Authority

Description Issue Date Termination Date Status
CASUALTY 04/28/2004 Active
PROPERTY 04/28/2004 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
8036010

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: 10/28/2025 09:58:43 AM