black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

CARISA BETH LONG

PRODUCER NON-RESIDENT

License Number:
PRN234350
Status:
First Licensure:
06/26/2014
Cancel Date:
None

Mailing:
ECLECTIC, AL 36024
Phone:
+1 (214) 418-9193
Fax:
+1 (972) 542-9494
Email:
cbf_1234@yahoo.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 06/26/2014

Agency

Name Issue Date License Number Expiration Date Cancel Date
USI INS SERVICES LLC
12/08/2025 AGN147905
USI SOUTHWEST INC
12/12/2018 AGN81982 03/12/2019
USI SOUTHWEST INC
12/08/2025 AGN81982

Employer

Name Issue Date License Number Expiration Date Cancel Date
ALLMERICA FINANCIAL ALLIANCE INSURANCE COMPANY
10/31/2014 PCF75617 03/21/2019
ALLMERICA FINANCIAL BENEFIT INSURANCE COMPANY
10/31/2014 PCF145893 03/21/2019
CITIZENS INSURANCE COMPANY OF AMERICA
10/31/2014 PCF937 03/21/2019
THE HANOVER AMERICAN INSURANCE COMPANY
10/31/2014 PCF197298 03/21/2019
THE HANOVER INSURANCE COMPANY
10/31/2014 PCF712 03/21/2019
HARTFORD FIRE INSURANCE COMPANY
02/03/2016 PCF464 05/03/2017
MASSACHUSETTS BAY INSURANCE COMPANY
10/31/2014 PCF505 03/21/2019
SENTINEL INSURANCE COMPANY LTD
08/23/2014 PCF84269 12/18/2015
SENTINEL INSURANCE COMPANY LTD
01/14/2016 PCF84269 05/03/2017
TRUMBULL INSURANCE COMPANY
03/11/2015 PCF47441 05/03/2017

Authority

Description Issue Date Termination Date Status
CASUALTY 06/26/2014 Active
PROPERTY 06/26/2014 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
7025895

Other Addresses

Address Type
ECLECTIC, AL 36024
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: 03/17/2026 09:21:45 PM