black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

CHRISTOPHER M. KICZUK

PRODUCER NON-RESIDENT

License Number:
PRN78203
Status:
First Licensure:
05/03/2001
Cancel Date:
None

Mailing:
EAST WINDSOR, CT 06088
Phone:
+1 (860) 653-1106
Fax:
+1 (888) 273-4454
Email:
ckiczuk@insuritas.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 04/13/2012
*** NOT ACTIVE *** 06/14/2005 04/12/2012
PRODUCER NON-RESIDENT 05/03/2001 06/13/2005

Agency

Name Issue Date License Number Expiration Date Cancel Date
BANC INS AGENCY INC
04/13/2012 AGN168808 06/20/2014

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN MODERN HOME INSURANCE COMPANY
04/26/2012 PCF808 12/13/2023
AMERICAN MODERN SELECT INSURANCE COMPANY
04/26/2012 PCF123448 10/28/2021
THE AUTOMOBILE INSURANCE COMPANY OF HARTFORD, CONNECTICUT
02/15/2013 PCF659 04/08/2013
THE PHOENIX INSURANCE COMPANY
02/15/2013 PCF557 04/08/2013
PROGRESSIVE NORTHERN INSURANCE COMPANY
08/28/2012 PCF51006 04/08/2013
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
08/28/2012 PCF27738 04/08/2013
THE STANDARD FIRE INSURANCE COMPANY
02/15/2013 PCF584 04/08/2013
TRAVELERS CASUALTY COMPANY OF CONNECTICUT
02/15/2013 PCF31810 04/08/2013
THE TRAVELERS HOME AND MARINE INSURANCE COMPANY
02/15/2013 PCF56556 04/08/2013
THE TRAVELERS INDEMNITY COMPANY OF AMERICA
02/15/2013 PCF585 04/08/2013
THE TRAVELERS INDEMNITY COMPANY
02/15/2013 PCF602 04/08/2013
TRAVELERS PERSONAL INSURANCE COMPANY
09/20/2019 PCF201268

Authority

Description Issue Date Termination Date Status
CASUALTY 04/13/2012 Active
PROPERTY 04/13/2012 Active
PROPERTY AND CASUALTY 05/03/2001 06/14/2005 Terminated

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
3750478

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 05:05:06 PM