black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JODI BROCK

PRODUCER NON-RESIDENT

License Number:
PRN64980
Status:
Active
First Licensure:
09/28/1999
Cancel Date:
None

Mailing:
SOUTH BEND, IN 46614
Phone:
+1 (574) 258-4400
Fax:
+1 (800) 845-3666

History
License Type Start Date End Date
PRODUCER NON-RESIDENT 09/28/1999

Agency

None.

Employer
Name Issue Date License Number Expiration Date Cancel Date
ACE AMERICAN INSURANCE COMPANY
 08/26/2006 PCF640
ACE FIRE UNDERWRITERS INSURANCE COMPANY
 08/26/2006 PCF43
ACE PROPERTY & CASUALTY INSURANCE COMPANY
 08/26/2006 PCF44
EXCELSIOR INSURANCE COMPANY
 12/31/2003 PCF46786 07/30/2010
FIRST LIBERTY INSURANCE CORPORATION
 04/03/2000 PCF31779 02/13/2004
INDEMNITY INSURANCE COMPANY OF NORTH AMERICA
 08/26/2006 PCF50104
LIBERTY INSURANCE CORPORATION
 04/03/2000 PCF999 02/13/2004
LIBERTY MUTUAL FIRE INSURANCE COMPANY
 04/03/2000 PCF330 02/13/2004
LIBERTY MUTUAL INSURANCE COMPANY
 04/03/2000 PCF331 02/13/2004
LM INSURANCE CORPORATION
 04/03/2000 PCF31778 02/13/2004
NETHERLANDS INSURANCE COMPANY
 12/31/2003 PCF827 07/30/2010
PACIFIC EMPLOYERS INSURANCE COMPANY
 08/26/2006 PCF546
PEERLESS INDEMNITY INSURANCE COMPANY
 02/18/2008 PCF97399 07/30/2010
PEERLESS INSURANCE COMPANY
 12/31/2003 PCF548 07/30/2010
WESTCHESTER FIRE INSURANCE COMPANY
 08/26/2006 PCF335 01/01/2011
WESTCHESTER FIRE INSURANCE COMPANY
 11/18/2010 PCF177973

Authority
Description Issue Date Termination Date Status
CASUALTY 09/28/1999 Active
PROPERTY 09/28/1999 Active
INDEPENDENT PRODUCER 01/15/2008 09/28/2011 Terminated

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
2663895

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: 05/23/2025 04:56:05 AM