black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

HARMON DENNIS BRADSHAW INC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN95018
Status:
First Licensure:
05/14/2003
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
4131 CARMICHAEL RD
MONTGOMERY, AL 36106-2801
Mailing:
PO BOX 241667
MONTGOMERY, AL 36124-1667
Phone:
+1 (334) 517-1222
Fax:
+1 (334) 273-9197
Email:
akuseski@hdbinsurance.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 05/14/2003 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
ARCH INSURANCE COMPANY
01/10/2017 PCF62719
BENCHMARK INSURANCE COMPANY
12/09/2020 PCF198652
EMPLOYERS ASSURANCE COMPANY
05/16/2019 PCF285638
EMPLOYERS COMPENSATION INSURANCE COMPANY
05/16/2019 PCF285639
EMPLOYERS PREFERRED INSURANCE COMPANY
05/16/2019 PCF285637
FALLS LAKE NATIONAL INSURANCE COMPANY
06/16/2022 PCF367127 08/17/2025
GUARANTEE INSURANCE COMPANY
08/19/2014 PCF855 12/19/2017
HUMANA INSURANCE COMPANY
12/23/2010 LHF980 09/22/2012
HUMANADENTAL INSURANCE COMPANY
05/26/2011 LHF173873 09/22/2012
JOHN HANCOCK LIFE INSURANCE COMPANY (USA)
12/17/2019 LHF210

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
DAVID JORDAN DENNIS
04/04/2008 PRN152107
JOHN WHITTERKA DOROUGH III
10/24/2009 PRN171690

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
DAVID JORDAN DENNIS PRN152107

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
3524547

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: 12/04/2025 02:03:32 AM