black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

GENERAL MOTORS INSURANCE SERVICES, INC.

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN394753
Status:
First Licensure:
09/09/2021
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
801 CHERRY ST STE 3500
FORT WORTH, TX 76102-6854
Mailing:
801 CHERRY ST STE 3500
FORT WORTH, TX 76102-6854
Phone:
+1 (888) 495-4674
Fax:
+1 (804) 380-4353
Email:
licensing@gminsurance.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 09/09/2021 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
HOMESITE INSURANCE COMPANY OF THE MIDWEST
09/14/2021 PCF116371
MIDVALE INDEMNITY COMPANY
09/14/2021 PCF79410

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
JAMIE LEIGH OVERLAND
03/22/2023 PRN446921
ANDREW PAUL ROSE
09/09/2021 PRN210954

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
ANDREW PAUL ROSE PRN210954

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
19687918

Other Phone Numbers

Phone Number Type
+1 (817) 302-7178 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: 05/18/2025 04:53:20 AM