black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

CHEYENNE KURTZ

PRODUCER NON-RESIDENT

License Number:
PRN404030
Status:
First Licensure:
11/19/2021
Cancel Date:
None

Mailing:
BETHLEHEM, PA 18018
Phone:
+1 (908) 319-8071
Email:
cheyenne.kurtz@adp.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 11/19/2021

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMTRUST INSURANCE COMPANY
09/20/2022 PCF260762
EMPLOYERS ASSURANCE COMPANY
01/14/2022 PCF285638
EMPLOYERS COMPENSATION INSURANCE COMPANY
01/14/2022 PCF285639
EMPLOYERS PREFERRED INSURANCE COMPANY
01/14/2022 PCF285637
SECURITY NATIONAL INSURANCE COMPANY
01/18/2022 PCF189490
SEQUOIA INSURANCE COMPANY
01/18/2022 PCF128467
TECHNOLOGY INSURANCE COMPANY INC
01/18/2022 PCF136874
WESCO INSURANCE COMPANY
01/18/2022 PCF49735

Authority

Description Issue Date Termination Date Status
CASUALTY 11/19/2021 Active
PROPERTY 11/19/2021 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
20145152

Other Addresses

Address Type
740 W HAMILTON ST
ALLENTOWN, PA 18101-2425
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: 05/14/2025 12:03:42 AM