black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

DEBRA ANN ROZMIAREK

PRODUCER NON-RESIDENT

License Number:
PRN128087
Status:
First Licensure:
06/05/2006
Cancel Date:
None

Mailing:
KRAKOW, WI 54137
Phone:
+1 (920) 330-5815
Fax:
+1 (920) 330-5560
Email:
debra.rozmiarek@connectbyamfam.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 06/05/2006

Agency

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN FAMILY CONNECT INSURANCE AGENCY INC
06/21/2006 AGN121078

Employer

Name Issue Date License Number Expiration Date Cancel Date
ACE AMERICAN INSURANCE COMPANY
03/10/2016 PCF640
AMERICAN FAMILY CONNECT PROPERTY AND CASUALTY INSURANCE COMPANY
07/26/2006 PCF120263
AMERICAN MODERN HOME INSURANCE COMPANY
07/28/2006 PCF808
BANKERS STANDARD INSURANCE COMPANY
03/10/2016 PCF152165
BRISTOL WEST INSURANCE COMPANY
05/18/2022 PCF78370
CHUBB INDEMNITY INSURANCE COMPANY
09/15/2020 PCF591
CHUBB NATIONAL INSURANCE COMPANY
09/15/2020 PCF80404
FEDERAL INSURANCE COMPANY
05/25/2011 PCF439
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
09/13/2012 PCF445
GREAT NORTHERN INSURANCE COMPANY
09/15/2020 PCF455
HOMESITE INSURANCE COMPANY OF THE MIDWEST
10/24/2017 PCF116371
INDEMNITY INSURANCE COMPANY OF NORTH AMERICA
03/10/2016 PCF50104
MIDVALE INDEMNITY COMPANY
04/19/2019 PCF79410
PACIFIC EMPLOYERS INSURANCE COMPANY
03/10/2016 PCF546
PACIFIC INDEMNITY COMPANY
09/15/2020 PCF547
PERMANENT GENERAL ASSURANCE CORPORATION
12/21/2023 PCF232047 02/17/2025
PROGRESSIVE NORTHERN INSURANCE COMPANY
08/10/2006 PCF51006
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
08/10/2006 PCF27738
RLI INSURANCE COMPANY
04/03/2020 PCF695
VIGILANT INSURANCE COMPANY
09/15/2020 PCF613

Authority

Description Issue Date Termination Date Status
CASUALTY 06/05/2006 Active
HEALTH 04/12/2012 Active
PROPERTY 06/05/2006 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
6518076

Other Addresses

Address Type
CONNECT POWERED BY AMERICAN FAMILY INSURANCE
3500 PACKERLAND DR
DE PERE, WI 54115-9034
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: 05/20/2025 08:59:09 AM