black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

TARA L. CONKLIN

PRODUCER NON-RESIDENT

License Number:
PRN413240
Status:
First Licensure:
03/15/2022
Cancel Date:
None

Mailing:
BLOOMINGTON, IL 61701
Phone:
+1 (888) 748-4268
Fax:
+1 (309) 681-5233
Email:
taraconklin@rivian.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 03/15/2022

Agency

Name Issue Date License Number Expiration Date Cancel Date
RIVIAN INSURANCE SERVICES, LLC
03/15/2022 AGN376480

Employer

Name Issue Date License Number Expiration Date Cancel Date
ALLIED INSURANCE COMPANY OF AMERICA
03/15/2022 PCF216138
ALLIED PROPERTY AND CASUALTY INSURANCE COMPANY
03/15/2022 PCF223935
AMCO INSURANCE COMPANY
03/15/2022 PCF223938
DEPOSITORS INSURANCE COMPANY
03/15/2022 PCF223940
NATIONWIDE AGRIBUSINESS INSURANCE COMPANY
03/15/2022 PCF151937
NATIONWIDE ASSURANCE COMPANY
03/15/2022 PCF38952
NATIONWIDE GENERAL INSURANCE COMPANY
03/15/2022 PCF30
NATIONWIDE INSURANCE COMPANY OF AMERICA
03/15/2022 PCF422
NATIONWIDE MUTUAL FIRE INSURANCE COMPANY
03/15/2022 PCF31 01/01/2023
NATIONWIDE MUTUAL INSURANCE COMPANY
03/15/2022 PCF32
NATIONWIDE PROPERTY & CASUALTY INSURANCE COMPANY
03/15/2022 PCF151089

Authority

Description Issue Date Termination Date Status
PROPERTY 03/15/2022 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
7152564

Other Addresses

Address Type
RIVIAN INSURANCE
100 N RIVIAN MTWY
NORMAL, IL 61761-8000
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: 06/28/2025 02:16:37 AM