black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

CARLA BLAS-LOPEZ

PRODUCER NON-RESIDENT

License Number:
PRN188215
Status:
First Licensure:
03/17/2011
Cancel Date:
None

Mailing:
BURNSVILLE, MN 55337
Phone:
+1 (612) 509-1027
Fax:
+1 (877) 869-6339
Email:
carla.blas-lopez@usi.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 03/17/2011

Agency

Name Issue Date License Number Expiration Date Cancel Date
USI INS SERVICES LLC
12/12/2018 AGN147905 11/08/2019
WELLS FARGO INSURANCE INC
03/17/2011 AGN65092 06/23/2014

Employer

Name Issue Date License Number Expiration Date Cancel Date
ACE AMERICAN INSURANCE COMPANY
06/30/2014 PCF640 07/09/2020
ACE PROPERTY & CASUALTY INSURANCE COMPANY
06/30/2014 PCF44 07/09/2020
ALLMERICA FINANCIAL ALLIANCE INSURANCE COMPANY
07/10/2014 PCF75617 12/15/2014
ALLMERICA FINANCIAL BENEFIT INSURANCE COMPANY
07/10/2014 PCF145893 12/15/2014
AMERICAN ECONOMY INSURANCE COMPANY
07/07/2014 PCF363 10/16/2019
AMERICAN FIRE AND CASUALTY COMPANY
07/07/2014 PCF200822 10/16/2019
AMERICAN MODERN HOME INSURANCE COMPANY
06/27/2011 PCF808 07/29/2014
AMERICAN MODERN SELECT INSURANCE COMPANY
06/27/2011 PCF123448 07/29/2014
AMERICAN STATES INSURANCE COMPANY
07/07/2014 PCF377 10/16/2019
AMERICAN ZURICH INSURANCE COMPANY
07/02/2014 PCF914
THE AUTOMOBILE INSURANCE COMPANY OF HARTFORD, CONNECTICUT
04/14/2011 PCF659 07/02/2014
CITIZENS INSURANCE COMPANY OF AMERICA
07/10/2014 PCF937 12/15/2014
EXCELSIOR INSURANCE COMPANY
07/07/2014 PCF46786 10/16/2019
FARMERS CASUALTY INSURANCE COMPANY
03/05/2021 PCF895 04/21/2021
FARMERS PROPERTY AND CASUALTY INSURANCE COMPANY
04/04/2011 PCF714 09/29/2014
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
04/11/2011 PCF445 07/22/2014
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
12/12/2014 PCF445 05/24/2018
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
06/05/2018 PCF445 11/12/2018
FOREMOST PROPERTY AND CASUALTY INSURANCE COMPANY
12/12/2014 PCF37337 05/24/2018
FOREMOST PROPERTY AND CASUALTY INSURANCE COMPANY
06/05/2018 PCF37337 11/12/2018
FOREMOST SIGNATURE INSURANCE COMPANY
12/12/2014 PCF176307 05/24/2018
FOREMOST SIGNATURE INSURANCE COMPANY
06/05/2018 PCF176307 11/12/2018
GENERAL INSURANCE COMPANY OF AMERICA
07/07/2014 PCF447 10/16/2019
THE HANOVER AMERICAN INSURANCE COMPANY
07/10/2014 PCF197298 12/15/2014
THE HANOVER INSURANCE COMPANY
07/10/2014 PCF712 12/15/2014
MASSACHUSETTS BAY INSURANCE COMPANY
07/10/2014 PCF505 12/15/2014
NETHERLANDS INSURANCE COMPANY
07/07/2014 PCF827 10/16/2019
OHIO CASUALTY INSURANCE COMPANY
07/07/2014 PCF73059 10/16/2019
OHIO SECURITY INSURANCE COMPANY
07/07/2014 PCF200581 10/16/2019
PEERLESS INDEMNITY INSURANCE COMPANY
07/07/2014 PCF97399 10/16/2019
PEERLESS INSURANCE COMPANY
07/07/2014 PCF548 10/16/2019
THE PHOENIX INSURANCE COMPANY
04/14/2011 PCF557 07/02/2014
PROGRESSIVE NORTHERN INSURANCE COMPANY
05/23/2011 PCF51006 07/07/2014
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
05/23/2011 PCF27738 07/07/2014
THE STANDARD FIRE INSURANCE COMPANY
04/14/2011 PCF584 07/02/2014
TRAVELERS CASUALTY COMPANY OF CONNECTICUT
04/14/2011 PCF31810 07/02/2014
THE TRAVELERS HOME AND MARINE INSURANCE COMPANY
04/14/2011 PCF56556 07/22/2014
THE TRAVELERS INDEMNITY COMPANY OF AMERICA
04/14/2011 PCF585 04/02/2020
THE TRAVELERS INDEMNITY COMPANY
04/14/2011 PCF602 07/02/2014
WEST AMERICAN INSURANCE COMPANY
07/07/2014 PCF200576 10/16/2019
WESTCHESTER FIRE INSURANCE COMPANY
06/30/2014 PCF177973 07/09/2020

Authority

Description Issue Date Termination Date Status
CASUALTY 03/17/2011 Active
LIFE 03/17/2011 Active
PROPERTY 03/17/2011 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
10664018

Other Addresses

Address Type
BURNSVILLE, MN 55337
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: 05/16/2025 10:12:23 PM