black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

STACEY J. KLEARMAN

PRODUCER NON-RESIDENT

License Number:
PRN417764
Status:
First Licensure:
05/05/2022
Cancel Date:
None

Mailing:
BOONVILLE, MO 65233
Phone:
+1 (920) 330-1295
Fax:
+1 (920) 330-5124
Email:
stacey.klearman@connectbyamfam.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 05/05/2022

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN FAMILY CONNECT PROPERTY AND CASUALTY INSURANCE COMPANY
03/26/2023 PCF120263
AMERICAN MODERN HOME INSURANCE COMPANY
07/12/2023 PCF808 12/13/2023
BRISTOL WEST INSURANCE COMPANY
08/09/2023 PCF78370
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
08/09/2023 PCF445
HOMESITE INSURANCE COMPANY OF THE MIDWEST
10/30/2022 PCF116371
MIDVALE INDEMNITY COMPANY
10/30/2022 PCF79410
PROGRESSIVE NORTHERN INSURANCE COMPANY
08/06/2023 PCF51006
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
08/06/2023 PCF27738

Authority

Description Issue Date Termination Date Status
CASUALTY 05/05/2022 Active
PROPERTY 05/05/2022 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
5059391

Other Addresses

Address Type
3500 PACKERLAND DR
DE PERE, WI 54115-9034
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: 03/26/2026 01:26:28 PM