black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

FALLON GRIFFIN

PRODUCER NON-RESIDENT

License Number:
PRN468300
Status:
First Licensure:
10/28/2023
Cancel Date:
None

Mailing:
GRAIN VALLEY, MO 64029
Phone:
+1 (920) 330-5100
Fax:
+1 (920) 330-5100
Email:
fallon.griffin@connectbyamfam.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 10/28/2023

Agency

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN FAMILY CONNECT INSURANCE AGENCY INC
03/03/2025 AGN121078

Employer

Name Issue Date License Number Expiration Date Cancel Date
BRISTOL WEST INSURANCE COMPANY
09/10/2025 PCF78370
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
09/10/2025 PCF445
HOMESITE INSURANCE COMPANY OF THE MIDWEST
02/02/2025 PCF116371
MIDVALE INDEMNITY COMPANY
07/21/2025 PCF79410
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
03/13/2025 PCF27738

Authority

Description Issue Date Termination Date Status
PERSONAL LINES 10/28/2023 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
20970707

Other Addresses

Address Type
6000 AMERICAN PKWY
MADISON, WI 53783-0001
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: 10/31/2025 06:27:54 PM