black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

DEREK CARL

PRODUCER NON-RESIDENT

License Number:
PRN215868
Status:
First Licensure:
04/25/2013
Cancel Date:
None

Mailing:
LAS VEGAS, NV 89144
Phone:
+1 (800) 842-3344
Fax:
+1 (920) 330-5124
Email:
derek.carl@connectbyamfam.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 04/25/2013

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN MODERN HOME INSURANCE COMPANY
09/27/2023 PCF808 12/13/2023
AMICA MUTUAL INSURANCE COMPANY
04/29/2013 PCF49 04/11/2016
BRISTOL WEST INSURANCE COMPANY
11/27/2023 PCF78370
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
11/27/2023 PCF445
HOMESITE INSURANCE COMPANY OF THE MIDWEST
09/07/2022 PCF116371
MIDVALE INDEMNITY COMPANY
09/07/2022 PCF79410
PROGRESSIVE NORTHERN INSURANCE COMPANY
10/13/2023 PCF51006
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
10/13/2023 PCF27738

Authority

Description Issue Date Termination Date Status
CASUALTY 04/25/2013 Active
PROPERTY 04/25/2013 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
16914012

Other Addresses

Address Type
CONNECT POWERED BY AMERICAN FAMILY INSURANCE
8912 SPANISH RIDGE AVE
LAS VEGAS, NV 89148-1306
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: 05/30/2026 01:08:15 PM