black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

KHRYSTAL HERNANDEZ

PRODUCER NON-RESIDENT

License Number:
PRN456613
Status:
First Licensure:
07/13/2023
Cancel Date:
None

Mailing:
NORTH BERGEN, NJ 07047
Phone:
+1 (800) 524-7024
Fax:
+1 (855) 241-3262
Email:
khrystal.hernandez@adp.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 07/13/2023

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
THE CHARTER OAK FIRE INSURANCE COMPANY
08/01/2023 PCF403
EMPLOYERS ASSURANCE COMPANY
07/18/2023 PCF285638
EMPLOYERS COMPENSATION INSURANCE COMPANY
07/18/2023 PCF285639
EMPLOYERS PREFERRED INSURANCE COMPANY
07/18/2023 PCF285637
THE PHOENIX INSURANCE COMPANY
08/01/2023 PCF557
THE TRAVELERS INDEMNITY COMPANY OF AMERICA
08/01/2023 PCF585
THE TRAVELERS INDEMNITY COMPANY OF CONNECTICUT
08/01/2023 PCF435 08/12/2024
THE TRAVELERS INDEMNITY COMPANY
08/01/2023 PCF602 08/12/2024
TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA
08/01/2023 PCF711

Authority

Description Issue Date Termination Date Status
CASUALTY 07/13/2023 Active
PROPERTY 07/13/2023 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
20765574

Other Addresses

Address Type
1 ADP BLVD
ROSELAND, NJ 07068-1728
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: 06/20/2025 12:25:14 AM