black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

KEITH M. ADKINS

PRODUCER NON-RESIDENT

License Number:
PRN262273
Status:
First Licensure:
12/30/2015
Cancel Date:
None

Mailing:
AMELIA, OH 45102
Phone:
+1 (800) 543-2644 x5016
Fax:
+1 (513) 947-4482
Email:
kadkins@amig.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 12/30/2015

Agency

Name Issue Date License Number Expiration Date Cancel Date
ATLAS INSURANCE AGENCY INC
12/30/2015 AGN60400

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN MODERN HOME INSURANCE COMPANY
01/05/2016 PCF808 10/28/2021
AMERICAN MODERN PROPERTY & CASUALTY INSURANCE COMPANY
09/29/2017 PCF234561
AMERICAN MODERN SELECT INSURANCE COMPANY
01/05/2016 PCF123448 10/28/2021

Authority

Description Issue Date Termination Date Status
CASUALTY 12/30/2015 Active
PROPERTY 12/30/2015 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
1894884

Other Addresses

Address Type
7000 MIDLAND BLVD
AMELIA, OH 45102-2646
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: 10/09/2025 09:52:10 AM