black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

KEITH ZAPOLNIK

PRODUCER NON-RESIDENT

License Number:
PRN448412
Status:
First Licensure:
04/06/2023
Cancel Date:
None

Mailing:
GRANDVIEW HEIGHTS, OH 43212
Phone:
+1 (740) 632-5545
Email:
kezapolnik@acrisure.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 04/06/2023

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
ALLMERICA FINANCIAL ALLIANCE INSURANCE COMPANY
03/18/2024 PCF75617
ALLMERICA FINANCIAL BENEFIT INSURANCE COMPANY
03/18/2024 PCF145893
AMERICAN MODERN PROPERTY & CASUALTY INSURANCE COMPANY
04/04/2024 PCF234561
BRISTOL WEST INSURANCE COMPANY
04/27/2023 PCF78370 02/29/2024
CITIZENS INSURANCE COMPANY OF AMERICA
03/18/2024 PCF937
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
04/27/2023 PCF445 02/29/2024
THE HANOVER AMERICAN INSURANCE COMPANY
03/18/2024 PCF197298
THE HANOVER INSURANCE COMPANY
03/18/2024 PCF712
MASSACHUSETTS BAY INSURANCE COMPANY
03/18/2024 PCF505
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
10/02/2023 PCF27738 08/27/2025

Authority

Description Issue Date Termination Date Status
PERSONAL LINES 04/06/2023 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
20539168

Other Addresses

Address Type
GRANDVIEW HEIGHTS, OH 43212
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: 10/07/2025 10:09:30 AM