Agency Information

WESTERN SKIES MGA, LLC

Address:

9300 SUN CITY BLVD

LAS VEGAS, NV 89134

Phone

702-939-8657

URL:

Email:

heather.benjamin@westernskiesmga.com

National Producer Number:

19296729

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Res. Surplus Lines Broker	3486284	10/15/2019	Active	10/15/2019	10/31/2025
Resident Producer Firm	3477292	09/23/2019	Active	09/23/2019	09/30/2025

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	09/23/2019	Active	09/23/2019
Property	09/23/2019	Active	09/23/2019
Surplus Lines	10/15/2019	Active	10/15/2019

Company Name	Appointment Type	Status	Active Date
1601
BENCHMARK INSURANCE COMPANY	Casualty	Active	10/25/2023
	Property	Active	10/25/2023
632
Company Name	Appointment Type	Status	Active Date
NORTH RIVER INSURANCE COMPANY (THE)	Casualty	Active	07/21/2023
	Property	Active	07/21/2023
692
Company Name	Appointment Type	Status	Active Date
UNITED STATES FIRE INSURANCE COMPANY	Casualty	Active	07/21/2023
	Property	Active	07/21/2023

row(s) 1 - 6 of 6

Name	Association Type	Agent	Begin Date	End Date
HEATHER LYN BENJAMIN	Designated Resp Lic Prdcr	Yes	07/27/2020	-
JEAN HELLUMS WILLIAMS	Designated Resp Lic Prdcr	Yes	04/28/2021	-

1 - 2