black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

AMERICAN FAMILY LIFE INSURANCE COMPANY

INSURANCE COMPANY

License Number:
LHF238774
Status:
First Licensure:
09/22/2014
Cancel Date:
None
Renewal Date:
08/10/2025
NAIC Code:
60399

Street Location:
6000 AMERICAN PKWY
MADISON, WI 53783-0001
Mailing:
6000 AMERICAN PKWY
MADISON, WI 53783-0001
Phone:
+1 (608) 242-4100
Email:
corplicensing@amfam.com

History

License Type Start Date End Date
INSURANCE COMPANY 09/22/2014 08/10/2025

Employee

Name Issue Date License Number Expiration Date Cancel Date
EVELYN BOOKER
03/24/2025 PRN509291
LILIA ANGELICA GONZALEZ
12/22/2021 PRN405151
HOMESITE INS AGENCY INC
08/03/2015 AGN124816
DONNA MARIE KELLEY
03/01/2023 PRN443404
JOEL H. LEE
12/28/2022 PRN438194
SHANA L. LIZAN
06/10/2019 PRN331214
CARLY JOAN NIESEN
03/27/2024 PRN453229
QUINTON NISHIDA
12/21/2021 PRN405947
DIEGO PERALTA-GALVAN
05/09/2022 PRN417766
DAVID CHRISTOPHER RILLING
02/26/2025 PRN507887
KAYLA LYNN SIMONIS
11/29/2021 PRN403413
JALE SLEDGE
04/26/2024 PRN481660
RAYMOND CARL SMITH
05/21/2025 PRN443700
TABITHA STORY
04/16/2024 PRN479442
TY J. WILSON
03/29/2021 PRN378497

Authority

Description Issue Date Termination Date Status
LIFE 09/22/2014 Active

Contacts

Type Contact
PRODUCER LICENSING CONTACT GEORGE ADAMS
GEORGE ADAMS
6000 AMERICAN PKWY STOP Q16H
MADISON, WI 53783-0001
Phone: +1 (608) 242-4100
Email: producerlicenseadmin@amfam.com
SERVICE OF PROCESS CORPORATION SERVICE COMPANY
45 MEMORIAL CIR
AUGUSTA, ME 04330-6400
Phone: +1 (800) 927-9800
Fax: +1 (302) 636-5454
Email: sop@cscglobal.com

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN)

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: 05/25/2025 12:53:33 PM