black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

DUSTIN K. HAYES

PRODUCER NON-RESIDENT

License Number:
PRN188608
Status:
Active
First Licensure:
03/30/2011
Cancel Date:
None

Mailing:
LEWISVILLE, NC 27023
Phone:
+1 (336) 438-3527
Fax:
+1 (877) 869-6339
Email:
dhayes@gotapco.com

History
License Type Start Date End Date
PRODUCER NON-RESIDENT 03/30/2011

Agency
Name Issue Date License Number Expiration Date Cancel Date
CRC INSURANCE SERVICES LLC
 12/13/2022 AGN38700
WELLS FARGO INSURANCE INC
 03/30/2011 AGN65092 10/08/2013

Employer
Name Issue Date License Number Expiration Date Cancel Date
AMERICAN MODERN HOME INSURANCE COMPANY
 06/21/2011 PCF808 10/21/2013
AMERICAN MODERN SELECT INSURANCE COMPANY
 06/21/2011 PCF123448 10/21/2013
THE AUTOMOBILE INSURANCE COMPANY OF HARTFORD, CONNECTICUT
 04/15/2011 PCF659 11/18/2013
FARMERS CASUALTY INSURANCE COMPANY
 03/05/2021 PCF895 04/21/2021
FARMERS PROPERTY AND CASUALTY INSURANCE COMPANY
 06/01/2011 PCF714 10/11/2013
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
 04/12/2011 PCF445 10/31/2013
THE PHOENIX INSURANCE COMPANY
 04/15/2011 PCF557 11/18/2013
PROGRESSIVE NORTHERN INSURANCE COMPANY
 05/06/2011 PCF51006 10/28/2013
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
 05/06/2011 PCF27738 10/28/2013
THE STANDARD FIRE INSURANCE COMPANY
 04/15/2011 PCF584 11/18/2013
TRAVELERS CASUALTY COMPANY OF CONNECTICUT
 04/15/2011 PCF31810 11/18/2013
THE TRAVELERS HOME AND MARINE INSURANCE COMPANY
 04/15/2011 PCF56556 11/18/2013
THE TRAVELERS INDEMNITY COMPANY OF AMERICA
 04/15/2011 PCF585 11/18/2013
THE TRAVELERS INDEMNITY COMPANY
 04/15/2011 PCF602 11/18/2013

Authority
Description Issue Date Termination Date Status
CASUALTY 03/30/2011 Active
LIFE 03/30/2011 Active
PROPERTY 03/30/2011 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
8480590

Other Addresses
Address Type
3060 S CHURCH ST
BURLINGTON, NC 27215-5153
 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: 06/19/2025 02:17:31 PM