black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

CANNON COCHRAN MANAGMENT SERVICES INC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN109414
Status:
First Licensure:
12/14/2004
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
2 E MAIN ST STE 311
DANVILLE, IL 61832-5844
Mailing:
3510 N CAUSEWAY BLVD STE 400
METAIRIE, LA 70002-3531
Phone:
+1 (217) 446-1089
Fax:
+1 (217) 446-0927
Email:
michael.cameron@ccmsi.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 04/11/2005 04/01/2027
RESIDENT PRODUCER AGENCY 12/14/2004 04/10/2005

Employer

Name Issue Date License Number Expiration Date Cancel Date
ACE AMERICAN INSURANCE COMPANY
09/13/2005 PCF640 02/14/2009
ACE AMERICAN INSURANCE COMPANY
11/04/2021 PCF640
CLEAR SPRING PROPERTY AND CASUALTY COMPANY
05/17/2021 PCF154337 07/23/2024
INDEMNITY INSURANCE COMPANY OF NORTH AMERICA
09/13/2005 PCF50104 02/14/2009
MIDWEST EMPLOYERS CASUALTY COMPANY
02/14/2005 PCF77580
SAFETY NATIONAL CASUALTY CORPORATION
08/14/2023 PCF64889
WESTCHESTER FIRE INSURANCE COMPANY
09/13/2005 PCF335 02/14/2009
WESTPORT INSURANCE CORPORATION
07/08/2005 PCF863 06/12/2008

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
GEORGE B. THOMAS
04/11/2005 PRN111468

Branch Office

Name Issue Date License Number Expiration Date Cancel Date
CANNON COCHRAN MANAGEMENT SERVICES INC (S PORTLAND ME)
04/11/2005 BRN112735

Supervised Entity

None.

Responsible Individual

Name License Number
GEORGE B. THOMAS PRN111468

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
1040560

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: 10/30/2025 11:06:50 PM