black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

PTZ INS AGENCY LTD

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN161448
Status:
First Licensure:
12/11/2008
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
801 INTERNATIONAL PKWY STE 5083
LAKE MARY, FL 32746-4762
Mailing:
1999 BRYANT ST STE 900
DALLAS, TX 75201
Phone:
+1 (866) 597-2424
Fax:
+1 (866) 445-4639
Email:
licensing@independenceamerican.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 12/11/2008 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
CENTRAL STATES INDEMNITY CO OF OMAHA
05/29/2013 PCF1026 08/11/2014
INDEPENDENCE AMERICAN INSURANCE COMPANY
09/28/2023 PCF86149
NORTH RIVER INSURANCE COMPANY
05/09/2016 PCF698
PRAETORIAN INSURANCE COMPANY
02/18/2009 PCF68207 08/26/2019
UNITED STATES FIRE INSURANCE COMPANY
05/09/2016 PCF101256

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
MEAGAN RENAE ABBE
11/14/2022 PRN262560
CHRISTINE AGOSTO
12/01/2020 PRN369901
HEATHER C. AMES
09/06/2024 PRN481513
CASSANDRA DENISE ANDERSON
01/17/2024 PRN474201
CONNIE SUE ARMBRUSTER
11/14/2022 PRN406982
ASHLEY RUTH AUKERMAN
11/14/2022 PRN262585
DORETTE BANYOG SAMPSEL
12/31/2022 PRN361982
BONNIE ALICIA BARBIER
11/14/2022 PRN417558
LYNDSEY MORGAN BATES
11/14/2022 PRN316465
HEATHER BAYER
12/14/2016 PRN279647
MICHELLE MARIE BECKLEY
11/14/2022 PRN337143
JULIE A. BEKELESKI
11/14/2022 PRN262942
TROY MICHAEL BELKNAP
11/14/2022 PRN167099
KIMBERLY MARIE BERENCSI
09/06/2024 PRN479450
KELLIE LEE BLOUGH
11/14/2022 PRN373795
NIKOLE RENEA BRANDENSTEIN
11/14/2022 PRN262580
TONYA DENISE BRAZILE
11/14/2022 PRN376429
LESLIE ANN BROOKER
11/14/2022 PRN403155
DAVID RICHARD BROWN
11/14/2022 PRN368755
SYDNEY PEARL BURCKHART
11/14/2022 PRN382316
JOHN EDWARD BURKE
09/06/2024 PRN399544
MICHELLE MAY BYRD
11/14/2022 PRN382334
SHINE CAMPBELL
07/21/2015 PRN252971
RUTH VALERIE COBB
11/14/2022 PRN278009
BRIANNA NICOLE CRAMER
11/14/2022 PRN359752
HEATHER MARIA DENNULL
01/06/2024 PRN473540
JOHN DERENOSKI
12/14/2016 PRN279599
JACQUELINE MARIE DIEHL
11/14/2022 PRN384273
LORI LYNN DOTTAVIO
11/14/2022 PRN405000
ALEXANDER DAVID FERIA
09/06/2024 PRN482724
RENEE M. FLOTTMANN
11/14/2022 PRN252662
ROBERT C. FOCKLER
11/14/2022 PRN254882
GINA MARIE FORTUNATO
11/14/2022 PRN262529
JAMES C. FOWLER
11/14/2022 PRN262647
GABRIELLE NICOLE FRANKS
11/14/2022 PRN325393
ABRAHM FUENTES
09/06/2024 PRN479364
LAURA LEE GAWNE
11/14/2022 PRN419248
THOMAS ADAM GRANDISON
11/14/2022 PRN389415
JASON L. GRIFFIN
11/14/2022 PRN262829
GINA M. GRINER
11/14/2022 PRN262649
TIFFANY A. GROSS
11/14/2022 PRN262692
STEVEN RICHARD GUMKE
09/06/2024 PRN474402
MELISSA GUSS
12/20/2016 PRN279663
REBECCA MARIE HAJEK
11/14/2022 PRN272041
KALI HARNEY
03/03/2020 PRN349630
WENDY LOU HAUSER
09/06/2024 PRN305480
EVA R. HODGDON
07/25/2023 PRN454918
MADISON ELIZABETH HOLLAND
09/06/2024 PRN480972
TRICIA HOOVER
11/28/2022 PRN399226
SAVANNA HORTON
11/14/2022 PRN381694
KATHERINE ANN HUNT
11/14/2022 PRN368787
NANCY L. HYMBAUGH
11/14/2022 PRN262702
ASHLEY ANN IMBO
04/25/2018 PRN306279
SABRINA LYNN JAHNS
09/06/2024 PRN480295
JOHN JORDAN
01/26/2023 PRN442516
SHARON MAE JUSTICE
11/14/2022 PRN262929
KELLY ANN KACKLEY
11/14/2022 PRN378643
SCHELIE SUE KELLY
11/14/2022 PRN262695
BRITTANY LYNN KITTLE
11/14/2022 PRN432090
SARAH ABAGAIL KLINGELSMITH
11/14/2022 PRN262709
JOCLYN C. KOCHER
11/14/2022 PRN254648
CHRISTOPHER LEE KOZLOWSKI
11/14/2022 PRN355300
ELIZABETH MARY LAMBRIGHT
11/14/2022 PRN262708
JENA HARLEY LAMP
11/14/2022 PRN421012
DAVID LUDICK
11/14/2022 PRN376718
TAYLOR K. LYALL
07/04/2015 PRN252355
JUSTIN MICHAEL MAJOR
11/14/2022 PRN419101
HILDA MARTINEZ
10/25/2021 PRN386877
ANTON TYCHICUS MAY
11/14/2022 PRN413855
PAULA JEAN MAZARIEGOS
06/29/2023 PRN455562
TINA MARIE MCBREEN
11/14/2022 PRN355224
KRISTEN DIANE MCINTOSH
09/06/2024 PRN474293
JAMES R. MCRAE
11/14/2022 PRN262742
CHELSEY ANN MILLER
11/14/2022 PRN376948
LEIGH KINGSLEY MITCHELL
03/01/2022 PRN410126
LINDSEY MULLINS
11/14/2022 PRN382326
JAY TAYLOR MUNDY
11/14/2022 PRN262733
ALECIA VICTORIA MYERS
01/09/2024 PRN473660
SANDRA LYNN PANDOLI
11/14/2022 PRN262927
JEREMY FRANK PARTEE
11/14/2022 PRN373467
SHARINA SABRINA PATTERSON
11/14/2022 PRN262791
DEBORAH LOUISE PAYNE
11/14/2022 PRN399246
MANITA PETERSON
09/06/2024 PRN453997
BEATRIZ RAMOS
04/17/2018 PRN306508
JENNIFER LYNN RIPPLE
09/06/2024 PRN486166
JENNIFER DYANNE RODRIGUEZ
09/06/2024 PRN480971
THOMAS WESLEY SAMSON
03/07/2022 PRN409772
COURTNEY MARIE SARGENT
11/14/2022 PRN262815
SKYLAR PAIGE SCALISE
11/14/2022 PRN359582
REBECCA M. SCHOECK
11/14/2022 PRN272399
KATHLEEN MARIE SCHOEN
11/14/2022 PRN303365
BRITTNEY SCOTT
09/06/2024 PRN492721
ALYSON BURDETTE SEESE
11/14/2022 PRN396471
LORETTA SUSAN SMITH
11/14/2022 PRN358325
SARA RENEE STANLEY
11/14/2022 PRN311661
JENNIFER LYNN STEPHENS
09/06/2024 PRN452534
ROD ALLEN SUMMERLIN
11/14/2022 PRN407076
JANESSE RAE TAYLOR
09/06/2024 PRN482026
LYNN MARIE THOMPSON
11/14/2022 PRN120646
TABITHA JEAN TIERNEY
11/14/2022 PRN376378
CHRISTERRON ESTHER TRIPLETT
11/14/2022 PRN420489
MATTHEW DAVID VANCE
11/14/2022 PRN413906
NICOLE NOELLE VELZKA
11/14/2022 PRN262827
AIDEN JACOB WALLBRIDGE
09/06/2024 PRN478746
JACOB ALAN WALLECK
06/06/2023 PRN451331
MELISSA LAUREN WINIGMAN
11/14/2022 PRN335946
BRANDY ANNETTE WISER
11/30/2023 PRN470895
TOREY WOOTTON
11/14/2022 PRN289672
DAWN MARIE WRIEDT
01/24/2024 PRN474662
CRISTIN LOUISE WRIGHT
11/29/2023 PRN470778
RUSSELL MATTHEW WURZBACH
11/14/2022 PRN262938

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
MELISSA GUSS PRN279663

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
5328528

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: 06/14/2025 09:19:24 PM