black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

TENISHA KIRCHHOFF

PRODUCER NON-RESIDENT

License Number:
PRN292257
Status:
First Licensure:
08/23/2017
Cancel Date:
None

Mailing:
RACINE, WI 53402
Phone:
+1 (720) 338-9588
Fax:
+1 (515) 365-1200
Email:
tenisha.kirchhoff@amba.info

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 08/23/2017

Agency

Name Issue Date License Number Expiration Date Cancel Date
MERCER HEALTH & BENEFITS ADMINISTRATION LLC
08/23/2017 AGN189659 06/27/2022

Employer

Name Issue Date License Number Expiration Date Cancel Date
CONTINENTAL AMERICAN INSURANCE COMPANY
08/23/2017 LHF80843 06/04/2024
PROVIDENT LIFE & ACCIDENT INSURANCE COMPANY
10/10/2017 LHF250
STARMOUNT LIFE INSURANCE COMPANY
10/10/2017 LHD131525
UNUM INSURANCE COMPANY
02/27/2019 LHD241
UNUM LIFE INSURANCE COMPANY OF AMERICA
10/10/2017 LHD145

Authority

Description Issue Date Termination Date Status
HEALTH 08/23/2017 Active
LIFE 08/23/2017 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
17622381

Other Addresses

Address Type
RACINE, WI 53402
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: 05/15/2025 06:24:49 PM