black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

DIEBOLD WEST BRANCH LLC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN525351
Status:
First Licensure:
08/28/2025
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
817 W HOUGHTON AVE
WEST BRANCH, MI 48661-1231
Mailing:
817 W HOUGHTON AVE
WEST BRANCH, MI 48661-1231
Phone:
+1 (989) 345-0200
Fax:
+1 (989) 345-0232
Email:
michelle@dieboldinsurance.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 08/28/2025 04/01/2027

Alias, DBA or Trade Name

Name
DIEBOLD INSURANCE AGENCY

Employer

Name Issue Date License Number Expiration Date Cancel Date
THE CINCINNATI CASUALTY COMPANY
01/22/2026 PCF137248
THE CINCINNATI INDEMNITY COMPANY
01/22/2026 PCF137240
THE CINCINNATI INSURANCE COMPANY
01/22/2026 PCF989

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
DANIEL ELLIOTT
08/28/2025 PRN446398

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
DANIEL ELLIOTT PRN446398

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
21678440

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: 02/01/2026 02:17:47 PM