black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JEFFREY A. RUBSAM

PRODUCER NON-RESIDENT

License Number:
PRN513916
Status:
First Licensure:
04/24/2025
Cancel Date:
None

Mailing:
EVANSVILLE, WI 53536
Phone:
+1 (406) 580-1272
Fax:
+1 (406) 580-1272
Email:
jrubsam@outlook.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 04/24/2025

Agency

Name Issue Date License Number Expiration Date Cancel Date
HORACE MANN SERVICE CORP
07/22/2025 AGN36959

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN MODERN HOME INSURANCE COMPANY
07/09/2025 PCF808
AMERICAN MODERN PROPERTY & CASUALTY INSURANCE COMPANY
10/08/2025 PCF234561
AMERICAN STRATEGIC INSURANCE CORP
07/05/2025 PCF258492
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
06/10/2025 PCF445
GEICO MARINE INSURANCE COMPANY
02/11/2026 PCF103315
HORACE MANN INSURANCE COMPANY
04/28/2025 PCF652 05/01/2026
HORACE MANN PROPERTY AND CASUALTY INSURANCE COMPANY
04/28/2025 PCF59789 05/01/2026
PROGRESSIVE NORTHERN INSURANCE COMPANY
09/05/2025 PCF51006
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
09/05/2025 PCF27738
RLI INSURANCE COMPANY
09/12/2025 PCF695
THE STANDARD FIRE INSURANCE COMPANY
09/15/2025 PCF584
TEACHERS INSURANCE COMPANY
04/28/2025 PCF968 05/01/2026

Authority

Description Issue Date Termination Date Status
CASUALTY 04/24/2025 Active
PROPERTY 04/24/2025 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
17742269

Other Addresses

Address Type
EVANSVILLE, WI 53536
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: 06/03/2026 04:44:11 PM