black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

CARLIE J. KLEINHANS

PRODUCER NON-RESIDENT

License Number:
PRN189709
Status:
First Licensure:
05/06/2011
Cancel Date:
None

Mailing:
MERRILL, WI 54452
Phone:
+1 (800) 622-8272
Email:
carlie.kleinhans@siegelagency.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 05/06/2011

Agency

Name Issue Date License Number Expiration Date Cancel Date
RSG UNDERWRITING MANAGERS LLC
11/08/2023 AGN117866

Employer

Name Issue Date License Number Expiration Date Cancel Date
CHURCH MUTUAL INSURANCE COMPANY, S.I.
01/05/2012 PCF69099 07/20/2015

Authority

Description Issue Date Termination Date Status
CASUALTY 05/06/2011 Active
PROPERTY 05/06/2011 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
16209921

Other Addresses

Address Type
25 LAKE LOUISE MARIE RD
ROCK HILL, NY 12775-6639
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: 10/20/2025 06:31:03 PM