black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

ROBERT MICHAEL CARLSON

PRODUCER NON-RESIDENT

License Number:
PRN336721
Status:
Active
First Licensure:
08/22/2019
Cancel Date:
None

Mailing:
FOUNTAIN, CO 80817
Phone:
+1 (866) 774-8570
Fax:
+1 (440) 395-5516
Email:
rcarlson62970@gmail.com

History
License Type Start Date End Date
PRODUCER NON-RESIDENT 08/22/2019

Agency

None.

Employer
Name Issue Date License Number Expiration Date Cancel Date
ALLIED INSURANCE COMPANY OF AMERICA
 09/11/2020 PCF216138 07/19/2022
ALLIED PROPERTY AND CASUALTY INSURANCE COMPANY
 04/14/2021 PCF223935 07/19/2022
AMCO INSURANCE COMPANY
 04/14/2021 PCF223938 07/19/2022
DEPOSITORS INSURANCE COMPANY
 04/14/2021 PCF223940 07/19/2022
HISCOX INSURANCE COMPANY INC
 09/03/2019 PCF985 07/13/2022
MIDVALE INDEMNITY COMPANY
 09/09/2019 PCF79410
NATIONWIDE AFFINITY INSURANCE COMPANY OF AMERICA
 04/14/2021 PCF34188 07/19/2022
NATIONWIDE AGRIBUSINESS INSURANCE COMPANY
 04/14/2021 PCF151937 07/19/2022
NATIONWIDE ASSURANCE COMPANY
 09/11/2020 PCF38952 07/19/2022
NATIONWIDE GENERAL INSURANCE COMPANY
 09/11/2020 PCF30 07/19/2022
NATIONWIDE INSURANCE COMPANY OF AMERICA
 09/11/2020 PCF422 07/19/2022
NATIONWIDE MUTUAL INSURANCE COMPANY
 09/11/2020 PCF32 07/19/2022
NATIONWIDE PROPERTY & CASUALTY INSURANCE COMPANY
 09/11/2020 PCF151089 07/19/2022
OHIO SECURITY INSURANCE COMPANY
 02/21/2020 PCF200581 07/13/2022
PROGRESSIVE NORTHERN INSURANCE COMPANY
 08/27/2019 PCF51006 07/25/2022
SPINNAKER INSURANCE COMPANY
 11/05/2024 PCF77301

Authority
Description Issue Date Termination Date Status
CASUALTY 08/22/2019 Active
PROPERTY 08/22/2019 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
8091575

Other Addresses
Address Type
53 STATE ST FL 19
BOSTON, MA 02109-2820
 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: 05/21/2025 07:07:53 AM