black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

PHYLLIS-ASHLEY MICHELLE KELLEY

PRODUCER NON-RESIDENT

License Number:
PRN501743
Status:
First Licensure:
11/19/2024
Cancel Date:
None

Mailing:
MARIETTA, GA 30007
Phone:
+1 (404) 579-2189
Fax:
+1 (404) 579-2189
Email:
phyllis-ashley.kelley@homesite.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 11/19/2024

Agency

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN FAMILY CONNECT INSURANCE AGENCY INC
02/13/2026 AGN121078

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN MODERN HOME INSURANCE COMPANY
12/31/2025 PCF808
HOMESITE INSURANCE COMPANY
11/22/2024 PCF249667
HOMESITE INSURANCE COMPANY OF THE MIDWEST
11/22/2024 PCF116371

Authority

Description Issue Date Termination Date Status
CASUALTY 11/19/2024 Active
PROPERTY 11/19/2024 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
20774980

Other Addresses

Address Type
4715 LONGCOURT DR SE
ATLANTA, GA 30339-1696
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: 03/16/2026 07:30:38 AM