black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

TARA LEANNE PALACIOS

PRODUCER NON-RESIDENT

License Number:
PRN468086
Status:
First Licensure:
10/26/2023
Cancel Date:
None

Mailing:
COTTONWOOD HEIGHTS, UT 84121
Phone:
+1 (801) 252-9023
Fax:
+1 (336) 435-0750
Email:
tara.palacios@ngic.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 10/26/2023

Agency

Name Issue Date License Number Expiration Date Cancel Date
AFFINITY BROKERAGE LLC
10/26/2023 AGN55398
CWI LLC
10/26/2023 AGN173565 04/23/2024
NATIONAL GENERAL INSURANCE MARKETING INC
10/26/2023 AGN43510

Employer

Name Issue Date License Number Expiration Date Cancel Date
ALLSTATE FIRE AND CASUALTY INSURANCE COMPANY
03/05/2025 PCF864
ALLSTATE INDEMNITY COMPANY
03/05/2025 PCF522
ALLSTATE INSURANCE COMPANY
03/05/2025 PCF354
ALLSTATE NORTH AMERICAN INSURANCE COMPANY
03/05/2025 PCF401026
ALLSTATE PROPERTY AND CASUALTY INSURANCE COMPANY
03/05/2025 PCF84066
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
12/20/2023 PCF445
INTEGON PREFERRED INSURANCE COMPANY
02/24/2025 PCF873
NATIONAL GENERAL INSURANCE COMPANY
02/26/2025 PCF647
PROGRESSIVE NORTHERN INSURANCE COMPANY
01/03/2024 PCF51006
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
01/03/2024 PCF27738

Authority

Description Issue Date Termination Date Status
CASUALTY 10/26/2023 Active
PROPERTY 10/26/2023 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
20849237

Other Addresses

Address Type
COTTONWOOD HEIGHTS, UT 84121
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 12:45:31 AM