black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

MEDPRO INSURANCE SERVICES LLC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN47977
Status:
Active
First Licensure:
12/20/1996
Cancel Date:
None
Renewal Date:
04/01/2027

Mailing:
5814 REED RD
PO BOX 15021
FORT WAYNE, IN 46885-5021
Phone:
+1 (260) 468-0839
Email:
kjohnson@plico.com

History
License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 11/15/2001 04/01/2027
*** NOT ACTIVE *** 07/01/2001 11/14/2001
NON-RESIDENT PRODUCER AGENCY 12/20/1996 06/30/2001

Employer
Name Issue Date License Number Expiration Date Cancel Date
AMERICAN ECONOMY INSURANCE COMPANY
 08/09/2013 PCF363 12/10/2021
AMERICAN FIRE AND CASUALTY COMPANY
 08/09/2013 PCF200822 11/10/2023
AMERICAN STATES INSURANCE COMPANY
 08/29/2003 PCF377 12/10/2021
ASSURANCE COMPANY OF AMERICA
 06/11/2004 PCF651 04/01/2011
EXCELSIOR INSURANCE COMPANY
 10/07/2008 PCF46786 05/09/2024
GENERAL INSURANCE COMPANY OF AMERICA
 08/09/2013 PCF447 12/09/2022
GENERAL INSURANCE COMPANY OF AMERICA
 01/09/2023 PCF447
GLATFELTER INSURANCE COMPANY
 06/11/2004 PCF752 12/05/2007
HARTFORD ACCIDENT & INDEMNITY COMPANY
 07/20/2006 PCF462 07/08/2008
HARTFORD CASUALTY INSURANCE COMPANY
 07/20/2006 PCF967 07/08/2008
HARTFORD FIRE INSURANCE COMPANY
 07/20/2006 PCF464 07/08/2008
HARTFORD INSURANCE COMPANY OF THE MIDWEST
 07/20/2006 PCF1021 07/08/2008
HARTFORD UNDERWRITERS INSURANCE COMPANY
 07/20/2006 PCF992 07/08/2008
HARTFORD UNDERWRITERS INSURANCE COMPANY
 05/09/2024 PCF992
MAINE BONDING AND CASUALTY COMPANY
 06/11/2004 PCD499 09/09/2008
MARYLAND CASUALTY COMPANY
 06/11/2004 PCF500 04/01/2011
MEDICAL PROTECTIVE COMPANY (THE)
 04/01/2004 PCF47861
NETHERLANDS INSURANCE COMPANY
 10/07/2008 PCF827 05/10/2024
NORTHERN INSURANCE COMPANY OF NEW YORK
 06/11/2004 PCF501 04/01/2011
OHIO CASUALTY INSURANCE COMPANY
 10/07/2008 PCF73059 12/09/2022
OHIO CASUALTY INSURANCE COMPANY
 01/09/2023 PCF73059
OHIO SECURITY INSURANCE COMPANY
 08/09/2013 PCF200581 11/10/2023
OHIO SECURITY INSURANCE COMPANY
 11/02/2024 PCF200581
PEERLESS INDEMNITY INSURANCE COMPANY
 10/07/2008 PCF97399 03/04/2022
PEERLESS INSURANCE COMPANY
 10/07/2008 PCF548
PROVIDENT LIFE & ACCIDENT INSURANCE COMPANY
 06/16/2005 LHF250 03/29/2007
TRUMBULL INSURANCE COMPANY
 07/20/2006 PCF47441 07/08/2008
TWIN CITY FIRE INSURANCE COMPANY
 07/20/2006 PCF963 07/08/2008
UNUM LIFE INSURANCE COMPANY OF AMERICA
 06/16/2005 LHD145 03/29/2007
WEST AMERICAN INSURANCE COMPANY
 08/09/2013 PCF200576

Affiliated Agent
Name Issue Date License Number Expiration Date Cancel Date
ANGELA ACKERMAN
 10/19/2009 PRN163877
JOEL RICHARD KEIRNS
 10/19/2009 PRN100545
EARL RANDALL KINSEY
 10/19/2009 PRN104560
BRADLEY WILLIAM LLOYD
 10/19/2009 PRN38287
HOLLY O NEAL
 01/03/2011 PRN165511
CASSI LEIGH WRIGHT
 01/03/2011 PRN178218
SHANE WYANT
 10/19/2009 PRN135504

Branch Office
Name Issue Date License Number Expiration Date Cancel Date
MEDICAL PROTECTIVE INS SVCS INC (SPRINGBORO OH)
 09/15/2003 BRN98332
MEDICAL PROTECTIVE INSURANCE SERVICES INC (BRENTWOOD NH)
 01/20/2004 BRN101024
MEDICAL PROTECTIVE INSURANCE SERVICES INC (FT WASHINGTON PA)
 01/20/2004 BRN101025

Supervised Entity

None.

Responsible Individual
Name License Number
JOEL RICHARD KEIRNS PRN100545

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
663264

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: 05/14/2025 02:02:20 AM