Agency Information

KM INSURANCE SERVICES INC

Address:

W260S7315 VISTA DEL TIERRA

WAUKESHA, WI 53189

Phone

262-679-1630

URL:

Email:

kathy.schultz@kminsurancewi.com

National Producer Number:

16532273

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	3862307	12/21/2022	Active	12/21/2022	12/31/2025

Qualification Type	Original Issue Date	Status	Effective Date
Health	12/21/2022	Active	12/21/2022
Life	12/21/2022	Active	12/21/2022

Company Name	Appointment Type	Status	Active Date
141630
HUMANA WISCONSIN HEALTH ORGANIZATION INSURANCE CORPORATION	Health	Active	07/20/2023
1085
Company Name	Appointment Type	Status	Active Date
NASSAU LIFE & ANNUITY COMPANY	Life	Active	01/09/2023

row(s) 1 - 2 of 2

Name	Association Type	Agent	Begin Date	End Date
KATHLEEN M SCHULTZ	Designated Resp Lic Prdcr	Yes	12/21/2022	-

1 - 1