black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JACOB ELM

PRODUCER NON-RESIDENT

License Number:
PRN310426
Status:
First Licensure:
06/02/2018
Cancel Date:
None

Mailing:
GREEN BAY, WI 54301
Phone:
+1 (920) 330-5909
Fax:
+1 (920) 330-5560
Email:
jacob.elm@connectbyamfam.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 06/02/2018

Agency

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN FAMILY CONNECT INSURANCE AGENCY INC
06/02/2018 AGN121078

Employer

Name Issue Date License Number Expiration Date Cancel Date
ACE AMERICAN INSURANCE COMPANY
06/20/2018 PCF640
AMERICAN FAMILY CONNECT PROPERTY AND CASUALTY INSURANCE COMPANY
06/06/2018 PCF120263
AMERICAN MODERN HOME INSURANCE COMPANY
03/20/2025 PCF808
BANKERS STANDARD INSURANCE COMPANY
06/20/2018 PCF152165
BRISTOL WEST INSURANCE COMPANY
05/18/2022 PCF78370
CHUBB INDEMNITY INSURANCE COMPANY
06/20/2018 PCF591
CHUBB NATIONAL INSURANCE COMPANY
06/20/2018 PCF80404
FEDERAL INSURANCE COMPANY
06/20/2018 PCF439
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
06/11/2018 PCF445
GREAT NORTHERN INSURANCE COMPANY
06/20/2018 PCF455
HOMESITE INSURANCE COMPANY OF THE MIDWEST
06/07/2018 PCF116371
MIDVALE INDEMNITY COMPANY
04/19/2019 PCF79410
PACIFIC INDEMNITY COMPANY
06/20/2018 PCF547
PERMANENT GENERAL ASSURANCE CORPORATION
01/24/2024 PCF232047 01/27/2025
PROGRESSIVE NORTHERN INSURANCE COMPANY
06/15/2018 PCF51006
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
06/15/2018 PCF27738
RLI INSURANCE COMPANY
09/01/2020 PCF695
VIGILANT INSURANCE COMPANY
06/20/2018 PCF613

Authority

Description Issue Date Termination Date Status
CASUALTY 06/02/2018 Active
PROPERTY 06/02/2018 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
18789485

Other Addresses

Address Type
3500 PACKERLAND DR
DE PERE, WI 54115-9034
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: 05/14/2025 12:14:30 AM