black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

KIMBERLY A. BOOM

PRODUCER NON-RESIDENT

License Number:
PRN218859
Status:
First Licensure:
07/19/2013
Cancel Date:
None

Mailing:
NEENAH, WI 54956
Phone:
+1 (920) 521-2244 x2244
Fax:
+1 (920) 967-8504

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 07/19/2013

Agency

Name Issue Date License Number Expiration Date Cancel Date
RSG UNDERWRITING MANAGERS LLC
08/22/2024 AGN117866

Employer

Name Issue Date License Number Expiration Date Cancel Date
JEWELERS MUTUAL INSURANCE COMPANY, SI
07/22/2013 PCF773 01/06/2014
JEWELERS MUTUAL INSURANCE COMPANY, SI
01/25/2016 PCF773 06/05/2016

Authority

Description Issue Date Termination Date Status
CASUALTY 07/19/2013 Active
PROPERTY 07/19/2013 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
17011285

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: 05/17/2025 06:07:22 PM