black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JON KEITH PELLERIN

PRODUCER NON-RESIDENT

License Number:
PRN176840
Status:
First Licensure:
04/21/2010
Cancel Date:
None

Mailing:
PANAMA CITY BEACH, FL 32407
Phone:
+1 (850) 832-5711
Fax:
+1 (850) 832-5711
Email:
jkeithpellerin@gmail.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 09/14/2017
*** NOT ACTIVE *** 01/29/2015 09/13/2017
PRODUCER NON-RESIDENT 04/21/2010 01/28/2015

Agency

Name Issue Date License Number Expiration Date Cancel Date
BANC OF AMERICA INSURANCE SERVICES INC
04/21/2010 AGN52348 04/04/2013
BSC AGENCY LLC
09/14/2017 AGN272522
BUSINESSOLVER COM INC
12/20/2017 AGN246259

Employer

Name Issue Date License Number Expiration Date Cancel Date
TESLA INSURANCE COMPANY
04/23/2010 PCF50 11/04/2013

Authority

Description Issue Date Termination Date Status
CASUALTY 12/20/2017 Active
HEALTH 09/14/2017 Active
LIFE 09/14/2017 Active
PROPERTY 12/20/2017 Active
PROPERTY AND CASUALTY 04/21/2010 01/29/2015 Terminated

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
550926

Other Addresses

Address Type
PANAMA CITY BEACH, FL 32407
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: 06/12/2026 12:13:54 AM