black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

MICHELLE LEE KUSSOW

PRODUCER NON-RESIDENT

License Number:
PRN343444
Status:
First Licensure:
11/05/2019
Cancel Date:
None

Mailing:
DE PERE, WI 54115
Phone:
+1 (920) 330-3274
Fax:
+1 (920) 330-5124
Email:
michelle.kussow@connectbyamfam.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 11/05/2019

Agency

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN FAMILY CONNECT INSURANCE AGENCY INC
11/07/2019 AGN121078

Employer

Name Issue Date License Number Expiration Date Cancel Date
ACE AMERICAN INSURANCE COMPANY
11/18/2019 PCF640
AMERICAN FAMILY CONNECT PROPERTY AND CASUALTY INSURANCE COMPANY
11/07/2019 PCF120263
BANKERS STANDARD INSURANCE COMPANY
11/18/2019 PCF152165
BRISTOL WEST INSURANCE COMPANY
11/11/2019 PCF78370
CHUBB INDEMNITY INSURANCE COMPANY
11/18/2019 PCF591
CHUBB NATIONAL INSURANCE COMPANY
11/18/2019 PCF80404
FEDERAL INSURANCE COMPANY
11/18/2019 PCF439
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
11/11/2019 PCF445
GREAT NORTHERN INSURANCE COMPANY
11/18/2019 PCF455
HOMESITE INSURANCE COMPANY OF THE MIDWEST
11/12/2019 PCF116371
MIDVALE INDEMNITY COMPANY
11/12/2019 PCF79410
PACIFIC INDEMNITY COMPANY
11/18/2019 PCF547
PERMANENT GENERAL ASSURANCE CORPORATION
12/20/2023 PCF232047 08/19/2024
PROGRESSIVE NORTHERN INSURANCE COMPANY
11/26/2019 PCF51006
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
11/26/2019 PCF27738
RLI INSURANCE COMPANY
09/01/2020 PCF695
VIGILANT INSURANCE COMPANY
11/18/2019 PCF613

Authority

Description Issue Date Termination Date Status
CASUALTY 11/05/2019 Active
PROPERTY 11/05/2019 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
652758

Other Addresses

Address Type
3500 PACKERLAND DR
DE PERE, WI 54115-9034
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: 05/13/2025 03:22:13 PM