black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

REBECCA M. CARLSON

PRODUCER NON-RESIDENT

License Number:
PRN368595
Status:
First Licensure:
11/12/2020
Cancel Date:
None

Mailing:
JONESBOROUGH, TN 37659
Phone:
+1 (435) 868-4864
Fax:
+1 (866) 257-4826
Email:
tiare-ladao@leavitt.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 11/12/2020

Agency

Name Issue Date License Number Expiration Date Cancel Date
LGAA, LLC DBA LEAVITT GROUP AGENCY ASSOCIATION
11/12/2020 AGN158148

Employer

Name Issue Date License Number Expiration Date Cancel Date
ACUITY A MUTUAL INSURANCE COMPANY
03/25/2021 PCF155357
EMPLOYERS ASSURANCE COMPANY
12/19/2024 PCF285638
EMPLOYERS COMPENSATION INSURANCE COMPANY
12/19/2024 PCF285639
EMPLOYERS PREFERRED INSURANCE COMPANY
12/19/2024 PCF285637
GENERAL INSURANCE COMPANY OF AMERICA
03/04/2025 PCF447
GREAT AMERICAN ALLIANCE INSURANCE COMPANY
03/21/2022 PCF46804
HARTFORD INSURANCE COMPANY OF THE MIDWEST
01/24/2023 PCF1021
HARTFORD UNDERWRITERS INSURANCE COMPANY
02/21/2024 PCF992
OHIO SECURITY INSURANCE COMPANY
11/15/2021 PCF200581

Authority

Description Issue Date Termination Date Status
CASUALTY 11/12/2020 Active
HEALTH 11/12/2020 Active
LIFE 11/12/2020 Active
PROPERTY 11/12/2020 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
3081570

Other Addresses

Address Type
JONESBOROUGH, TN 37659
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: 05/21/2025 04:52:57 AM