black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

FIRST STATE INSURANCE AGENCY INC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN356088
Status:
Active
First Licensure:
07/07/2020
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
204 E LIBERTY ST
FARMINGTON, MO 63640-3128
Mailing:
204 E LIBERTY ST
FARMINGTON, MO 63640-3128
Phone:
+1 (573) 756-6741
Fax:
+1 (573) 756-2762
Email:
info@fsia.bz

History
License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 07/07/2020 04/01/2027

Employer
Name Issue Date License Number Expiration Date Cancel Date
ALLIED INSURANCE COMPANY OF AMERICA
 02/16/2022 PCF216138
ALLIED PROPERTY AND CASUALTY INSURANCE COMPANY
 02/16/2022 PCF223935
AMCO INSURANCE COMPANY
 02/16/2022 PCF223938
AMERICAN PROGRESSIVE LIFE & HEALTH INS COMPANY OF NEW YORK
 02/25/2023 LHF374 08/25/2023
AMERICAN PROGRESSIVE LIFE & HEALTH INS COMPANY OF NEW YORK
 08/28/2023 LHF374 03/02/2025
ARCH INSURANCE COMPANY
 04/14/2022 PCF62719
DEPOSITORS INSURANCE COMPANY
 02/16/2022 PCF223940
NATIONWIDE AGRIBUSINESS INSURANCE COMPANY
 02/16/2022 PCF151937
NATIONWIDE ASSURANCE COMPANY
 02/16/2022 PCF38952
NATIONWIDE GENERAL INSURANCE COMPANY
 02/16/2022 PCF30
NATIONWIDE INSURANCE COMPANY OF AMERICA
 02/16/2022 PCF422
NATIONWIDE MUTUAL FIRE INSURANCE COMPANY
 02/16/2022 PCF31 01/01/2023
NATIONWIDE MUTUAL INSURANCE COMPANY
 02/16/2022 PCF32
NATIONWIDE PROPERTY & CASUALTY INSURANCE COMPANY
 02/16/2022 PCF151089
PHILADELPHIA INDEMNITY INSURANCE COMPANY
 04/07/2025 PCF46041
WELLCARE OF MAINE, INC.
 02/25/2023 HMD305081 02/10/2025
WELLCARE PRESCRIPTION INSURANCE INC
 02/25/2023 LHF121869 03/01/2025

Affiliated Agent
Name Issue Date License Number Expiration Date Cancel Date
BROCK FREDERIC HENDRICKS
 07/07/2020 PRN328349

Branch Office

None.

Supervised Entity

None.

Responsible Individual
Name License Number
BROCK FREDERIC HENDRICKS PRN328349

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
7164228

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: 05/14/2025 08:43:24 PM