black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

ROSE M. DZIEDZIC

PRODUCER NON-RESIDENT

License Number:
PRN275246
Status:
First Licensure:
09/17/2016
Cancel Date:
None

Mailing:
MARLTON, NJ 08053
Phone:
+1 (856) 296-3496
Email:
rmsrosi416@aol.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 09/17/2016

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
CONTINENTAL AMERICAN INSURANCE COMPANY
03/05/2019 LHF80843 02/11/2020
PROVIDENT LIFE & ACCIDENT INSURANCE COMPANY
11/01/2017 LHF250 01/24/2019
PROVIDENT LIFE & ACCIDENT INSURANCE COMPANY
09/25/2019 LHF250
RELIASTAR LIFE INSURANCE COMPANY
03/25/2019 LHF22 08/15/2019
RELIASTAR LIFE INSURANCE COMPANY
10/12/2022 LHF22
STARMOUNT LIFE INSURANCE COMPANY
11/01/2017 LHD131525 01/24/2019
STARMOUNT LIFE INSURANCE COMPANY
09/25/2019 LHD131525
UNUM INSURANCE COMPANY
09/25/2019 LHD241
UNUM LIFE INSURANCE COMPANY OF AMERICA
11/01/2017 LHD145 01/24/2019
UNUM LIFE INSURANCE COMPANY OF AMERICA
09/20/2019 LHD145

Authority

Description Issue Date Termination Date Status
HEALTH 09/17/2016 Active
LIFE 09/17/2016 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
1018811

Other Addresses

Address Type
MARLTON, NJ 08053
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: 03/22/2026 10:16:44 AM