Individual Information

JOSHUA A HEEBNER

HARLEYSVILLE, PA 19438-3105

Active

josh@elementrisk.com

07/27/2022

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	3815950	07/27/2022	Active	07/27/2022	07/31/2025

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	07/27/2022	Active	07/27/2022
Health	07/27/2022	Active	07/27/2022
Life	07/27/2022	Active	07/27/2022
Property	07/27/2022	Active	07/27/2022

Company Name	Appointment Type	Status	Active Date
924
ALLSTATE FIRE AND CASUALTY INSURANCE COMPANY	Casualty	Active	05/04/2023
	Property	Active	05/04/2023
19
Company Name	Appointment Type	Status	Active Date
ALLSTATE INDEMNITY COMPANY	Casualty	Active	05/04/2023
	Property	Active	05/04/2023
20
Company Name	Appointment Type	Status	Active Date
ALLSTATE INSURANCE COMPANY	Casualty	Active	05/04/2023
	Property	Active	05/04/2023
1366
Company Name	Appointment Type	Status	Active Date
ALLSTATE PROPERTY & CASUALTY INSURANCE COMPANY	Casualty	Active	05/04/2023
	Property	Active	05/04/2023
1447
Company Name	Appointment Type	Status	Active Date
ALLSTATE VEHICLE AND PROPERTY INSURANCE COMPANY	Casualty	Active	05/04/2023
	Property	Active	05/04/2023
852
Company Name	Appointment Type	Status	Active Date
BANKERS STANDARD INSURANCE COMPANY	Casualty	Active	09/02/2022
	Property	Active	09/02/2022
11242
Company Name	Appointment Type	Status	Active Date
INDEPENDENCE AMERICAN INSURANCE COMPANY	Casualty	Active	07/19/2024
114730
Company Name	Appointment Type	Status	Active Date
PRIVILEGE UNDERWRITERS RECIPROCAL EXCHANGE	Casualty	Active	04/22/2023
	Property	Active	04/22/2023

row(s) 1 - 15 of 15

Organization	Association Type	Type	Beg dte	End dte
ELEMENT RISK MANAGEMENT LLC	Designated Resp Lic Prdcr	Agency	08/15/2022	-

1 - 1