black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

KATARZYNA NIEMCZYK

PRODUCER NON-RESIDENT

License Number:
PRN156266
Status:
First Licensure:
07/27/2008
Cancel Date:
None

Mailing:
KENOSHA, WI 53143
Phone:
+1 (262) 842-2300
Fax:
+1 (262) 842-2300
Email:
kathy@insuranceamount.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 03/23/2012
*** NOT ACTIVE *** 03/09/2012 03/22/2012
PRODUCER NON-RESIDENT 07/27/2011 03/08/2012
*** NOT ACTIVE *** 02/11/2010 07/26/2011
PRODUCER NON-RESIDENT 07/27/2008 02/10/2010

Agency

Name Issue Date License Number Expiration Date Cancel Date
AFFINITY INSURANCE SERVICES INC
07/27/2008 AGN50950 02/11/2010
AFFINITY INSURANCE SERVICES INC
07/27/2011 AGN50950 03/09/2012
MERCER HEALTH & BENEFITS ADMINISTRATION LLC
01/30/2014 AGN189659 06/22/2016

Employer

Name Issue Date License Number Expiration Date Cancel Date
NATIONAL SPECIALTY INSURANCE COMPANY
12/28/2021 PCF94585
STATE NATIONAL INSURANCE COMPANY INC.
12/28/2021 PCF75933

Authority

Description Issue Date Termination Date Status
CASUALTY 03/23/2012 Active
HEALTH 03/23/2012 Active
LIFE 03/23/2012 Active
PROPERTY 03/23/2012 Active
LIFE AND HEALTH 07/27/2011 03/09/2012 Terminated
PROPERTY AND CASUALTY 07/27/2011 03/09/2012 Terminated
PROPERTY AND CASUALTY 07/27/2008 02/11/2010 Terminated

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
2199470

Other Addresses

Address Type
6104 3RD AVE
KENOSHA, WI 53143-4532
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: 05/22/2025 09:55:34 AM