black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

TYSON HOLMES

PRODUCER NON-RESIDENT

License Number:
PRN299275
Status:
First Licensure:
12/05/2017
Cancel Date:
None

Mailing:
BEAVERTON, OR 97003
Phone:
+1 (314) 493-8000
Fax:
+1 (336) 435-0750
Email:
tyson.holmes@ngic.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 12/05/2017

Agency

Name Issue Date License Number Expiration Date Cancel Date
AFFINITY BROKERAGE LLC
12/06/2017 AGN55398
CWI LLC
12/05/2017 AGN173565 04/23/2024
NATIONAL GENERAL INSURANCE MARKETING INC
12/06/2017 AGN43510

Employer

Name Issue Date License Number Expiration Date Cancel Date
DAIRYLAND INSURANCE COMPANY
06/14/2019 PCF721
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
12/11/2017 PCF445
INTEGON NATIONAL INSURANCE COMPANY
12/06/2017 PCF310
INTEGON PREFERRED INSURANCE COMPANY
01/13/2024 PCF873
NATIONAL GENERAL INSURANCE COMPANY
12/06/2017 PCF647
PROGRESSIVE NORTHERN INSURANCE COMPANY
12/19/2017 PCF51006
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
12/19/2017 PCF27738

Authority

Description Issue Date Termination Date Status
CASUALTY 12/05/2017 Active
PROPERTY 12/05/2017 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
18614179

Other Addresses

Address Type
NATIONAL GENERAL INSURANCE COMPANY
17455 SW CRICKET CT
BEAVERTON, OR 97003-4569
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: 05/19/2025 09:24:25 PM