black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

MICHAEL ROBERT ROSS

PRODUCER NON-RESIDENT

License Number:
PRN448089
Status:
First Licensure:
04/01/2023
Cancel Date:
None

Mailing:
WARRENVILLE, IL 60555
Phone:
+1 (317) 201-5013
Email:
mike.ross@assuredpartners.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 04/01/2023

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
INDEPENDENCE AMERICAN INSURANCE COMPANY
08/24/2023 PCF86149
SELECTIVE INSURANCE COMPANY OF AMERICA
06/20/2024 PCF456095
SELECTIVE INSURANCE COMPANY OF SOUTH CAROLINA
06/20/2024 PCF456097
SELECTIVE INSURANCE COMPANY OF THE SOUTHEAST
06/20/2024 PCF456098
SELECTIVE WAY INSURANCE COMPANY
06/20/2024 PCF456096

Authority

Description Issue Date Termination Date Status
CASUALTY 04/01/2023 Active
HEALTH 04/01/2023 Active
LIFE 04/01/2023 Active
PROPERTY 04/01/2023 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
8102987

Other Addresses

Address Type
WARRENVILLE, IL 60555
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: 05/21/2025 05:55:13 PM