black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JEREMY POLK

PRODUCER NON-RESIDENT

License Number:
PRN251486
Status:
First Licensure:
06/13/2015
Cancel Date:
None

Mailing:
CHANDLER, AZ 85226
Phone:
+1 (602) 666-4921
Email:
jeremy.polk@usi.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 06/13/2015

Agency

Name Issue Date License Number Expiration Date Cancel Date
USI INS SERVICES LLC
12/12/2018 AGN147905
USI INSURANCE SERVICES NATIONAL INC
06/13/2015 AGN57447 10/09/2019
USI SOUTHWEST INC
01/06/2022 AGN81982

Employer

Name Issue Date License Number Expiration Date Cancel Date
ARGONAUT INSURANCE COMPANY
03/07/2018 PCF384 08/23/2024
CONTINENTAL INDEMNITY COMPANY
05/09/2024 PCF131045
EVERGREEN NATIONAL INDEMNITY COMPANY
03/16/2020 PCF96999
LIBERTY MUTUAL INSURANCE COMPANY
07/29/2015 PCF331
MERCHANTS BONDING COMPANY (MUTUAL)
08/09/2020 PCF108067
PENNSYLVANIA INSURANCE COMPANY
05/09/2024 PCF72859
SWISS RE CORPORATE SOLUTIONS AMERICA INSURANCE CORPORATION
04/16/2019 PCF729

Authority

Description Issue Date Termination Date Status
CASUALTY 06/13/2015 Active
PROPERTY 06/13/2015 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
17591824

Other Addresses

Address Type
2375 E CAMELBACK RD STE 740
PHOENIX, AZ 85016-3424
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: 10/08/2025 08:25:59 AM