DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Puchovich, James M	DOIID	347448	NAIC NPN	1830037

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	General Lines	9/23/1998	8/15/2000
Inactive	Non Resident	Agent	Property	9/6/2013	2/28/2018
Inactive	Non Resident	Agent	Casualty	9/6/2013	2/28/2018
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	5/17/2017	8/31/2017
Inactive	Bristol West Insurance Company	301655	Agent - Property	5/17/2017	8/31/2017
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	6/13/2017	9/5/2017
Inactive	Dairyland Insurance Company	301370	Agent - Property	6/13/2017	9/5/2017
Inactive	Safe Auto Insurance Company	300419	Agent - Casualty	9/19/2013	6/14/2017
Inactive	Safe Auto Insurance Company	300419	Agent - General Lines	9/23/1998	8/15/2000
Inactive	Safe Auto Insurance Company	300419	Agent - Property	9/19/2013	6/14/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Safe Auto Group Agency Inc	557065	Agent - Casualty	10/1/2013	9/5/2017
Inactive	Safe Auto Group Agency Inc	557065	Agent - Property	5/29/2015	9/5/2017