black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

ROMAN DAVID ATKIELSKI

PRODUCER NON-RESIDENT

License Number:
PRN385441
Status:
First Licensure:
06/10/2021
Cancel Date:
None

Mailing:
ALPHARETTA, GA 30004
Phone:
+1 (404) 210-9216
Fax:
+1 (404) 892-0186
Email:
jencap@3hcs.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 06/10/2021

Agency

Name Issue Date License Number Expiration Date Cancel Date
ICM INS SERVICES LLC
07/14/2021 AGN278802 04/11/2022
JENCAP INSURANCE SERVICES INC
08/30/2022 AGN281605

Employer

Name Issue Date License Number Expiration Date Cancel Date
ARCH INSURANCE COMPANY
09/29/2025 PCF62719
BERKLEY CASUALTY COMPANY
03/13/2023 PCF209213

Authority

Description Issue Date Termination Date Status
CASUALTY 06/10/2021 Active
HEALTH 06/10/2021 Active
PROPERTY 06/10/2021 Active
SURPLUS LINES 10/17/2021 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
15967779

Other Addresses

Address Type
115 PERIMETER CENTER PL NE STE 1150
ATLANTA, GA 30346-1271
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: 11/29/2025 05:20:49 AM