black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

LLYSSA VAN FOSSEN

PRODUCER NON-RESIDENT

License Number:
PRN279752
Status:
First Licensure:
12/08/2016
Cancel Date:
None

Mailing:
COLUMBUS, OH 43220
Phone:
+1 (614) 435-5260
Email:
clmadlic@nationwide.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 12/08/2016

Agency

Name Issue Date License Number Expiration Date Cancel Date
NATIONWIDE SALES SOLUTIONS, INC
12/14/2016 AGN126911 07/31/2023
NBS INSURANCE AGENCY INC
08/08/2023 AGN49849

Employer

Name Issue Date License Number Expiration Date Cancel Date
ACUITY A MUTUAL INSURANCE COMPANY
03/01/2022 PCF155357 07/05/2022
ALLIED INSURANCE COMPANY OF AMERICA
12/09/2016 PCF216138 07/31/2023
NATIONWIDE AFFINITY INSURANCE COMPANY OF AMERICA
10/05/2021 PCF34188 07/31/2023
NATIONWIDE AGRIBUSINESS INSURANCE COMPANY
12/09/2016 PCF151937 07/31/2023
NATIONWIDE ASSURANCE COMPANY
12/09/2016 PCF38952 07/31/2023
NATIONWIDE GENERAL INSURANCE COMPANY
12/09/2016 PCF30 07/31/2023
NATIONWIDE INSURANCE COMPANY OF AMERICA
01/01/2020 PCF422 07/31/2023
NATIONWIDE MUTUAL FIRE INSURANCE COMPANY
12/09/2016 PCF31 01/01/2023
NATIONWIDE MUTUAL INSURANCE COMPANY
12/09/2016 PCF32 07/31/2023
NATIONWIDE PROPERTY & CASUALTY INSURANCE COMPANY
12/09/2016 PCF151089 07/31/2023
PROGRESSIVE NORTHERN INSURANCE COMPANY
07/31/2019 PCF51006 11/07/2022
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
07/31/2019 PCF27738 11/07/2022

Authority

Description Issue Date Termination Date Status
CASUALTY 12/08/2016 Active
PROPERTY 12/08/2016 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
18218689

Other Addresses

Address Type
1 NATIONWIDE PLZ
COLUMBUS, OH 43215-2226
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: 05/15/2025 02:13:37 AM