black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

KRISTAN A. SHOCK

PRODUCER LIMITED NON-RESIDENT

License Number:
PLN405773
Status:
First Licensure:
12/12/2021
Cancel Date:
None

Mailing:
LAKE WORTH, FL 33463
Phone:
+1 (866) 455-6116
Fax:
+1 (804) 965-8494
Email:
aaalicensing@allianzassistance.com

History

License Type Start Date End Date
PRODUCER LIMITED NON-RESIDENT 12/12/2021

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
BCS INSURANCE COMPANY
12/23/2021 PCF928
JEFFERSON INSURANCE COMPANY
12/23/2021 PCF488

Authority

Description Issue Date Termination Date Status
TRAVEL AND BAGGAGE 12/12/2021 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
9858314

Other Addresses

Address Type
9950 MAYLAND DR
RICHMOND, VA 23233-1463
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: 10/27/2025 02:38:00 AM