black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JULIE MARIE NYCUM

PRODUCER NON-RESIDENT

License Number:
PRN92725
Status:
First Licensure:
02/10/2003
Cancel Date:
None

Mailing:
FORT WAYNE, IN 46804
Phone:
+1 (800) 343-1368 x3900
Fax:
+1 (800) 547-2220
Email:
jnycum@aana.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 02/10/2003

Agency

Name Issue Date License Number Expiration Date Cancel Date
AANA ASSOCIATION MANAGEMENT SERVICES INC
12/20/2021 AGN137706 04/25/2023
MEDPRO INSURANCE SERVICES LLC
10/19/2009 AGN47977 11/29/2018
MERI INSURANCE SERVICES, LLC
11/17/2021 AGN403772 04/25/2023
SDMS INS SERVICES INC
12/20/2021 AGN267000 04/25/2023

Employer

Name Issue Date License Number Expiration Date Cancel Date
INDEPENDENCE AMERICAN INSURANCE COMPANY
11/03/2023 PCF86149
MEDICAL PROTECTIVE COMPANY (THE)
12/21/2006 PCF47861 01/22/2015
MEDICAL PROTECTIVE COMPANY (THE)
10/06/2021 PCF47861 05/24/2023
UNITED STATES FIRE INSURANCE COMPANY
05/06/2021 PCF101256

Authority

Description Issue Date Termination Date Status
CASUALTY 02/10/2003 Active
PROPERTY 02/10/2003 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
1454122

Other Addresses

Address Type
3000 MERIDIAN BLVD STE 400
FRANKLIN, TN 37067-9900
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: 12/10/2025 12:09:39 PM