black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

ADAM D. WAX

PRODUCER NON-RESIDENT

License Number:
PRN367869
Status:
First Licensure:
11/04/2020
Cancel Date:
None

Mailing:
PINE BROOK, NJ 07058
Phone:
+1 (973) 467-8850
Fax:
+1 (973) 467-5641
Email:
vivianm@krainsurance.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 11/04/2020

Agency

Name Issue Date License Number Expiration Date Cancel Date
KRA INS AGENCY INC
11/04/2020 AGN132032 07/01/2023

Employer

Name Issue Date License Number Expiration Date Cancel Date
THE CINCINNATI LIFE INSURANCE COMPANY
12/02/2020 LHF75044

Authority

Description Issue Date Termination Date Status
CASUALTY 11/04/2020 Active
HEALTH 11/04/2020 Active
LIFE 11/04/2020 Active
PROPERTY 11/04/2020 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
1572897

Other Addresses

Address Type
871 MOUNTAIN AVE
SPRINGFIELD, NJ 07081-3456
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: 06/20/2025 07:12:09 PM