DEPARTMENT OF INSURANCE

Affiliations

Name	Balta, Mauricio	DOIID	865348	NAIC NPN	17088836

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Personal Lines	1/9/2015	1/8/2019
Pending Replacement	Non Resident	Agent	Property	7/23/2021		1/31/2026
Pending Replacement	Non Resident	Agent	Casualty	7/23/2021		1/31/2026
* 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
Pending Replacement	Allmerica Financial Alliance Insurance Company	300823	Agent - Casualty	11/27/2024
Pending Replacement	Allmerica Financial Alliance Insurance Company	300823	Agent - Property	11/27/2024
Pending Replacement	Allmerica Financial Benefit Insurance Company	301223	Agent - Casualty	11/27/2024
Pending Replacement	Allmerica Financial Benefit Insurance Company	301223	Agent - Property	11/27/2024
Pending Replacement	Campmed Casualty & Indemnity Company, Inc.	693047	Agent - Casualty	11/27/2024
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	3/28/2019	7/8/2020
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Personal Lines	3/29/2018	1/8/2019
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	3/28/2019	7/8/2020
Inactive	Government Employees Insurance Company	300376	Agent - Casualty	3/27/2019	6/22/2020
Inactive	Government Employees Insurance Company	300376	Agent - Personal Lines	1/19/2015	1/8/2019
Inactive	Government Employees Insurance Company	300376	Agent - Property	3/27/2019	6/22/2020
Pending Replacement	Hanover American Insurance Company (The)	300447	Agent - Casualty	11/27/2024
Pending Replacement	Hanover American Insurance Company (The)	300447	Agent - Property	11/27/2024
Pending Replacement	Hanover Insurance Company (The)	300508	Agent - Casualty	11/27/2024
Pending Replacement	Hanover Insurance Company (The)	300508	Agent - Property	11/27/2024
Inactive	Homesite Insurance Company	301139	Agent - Casualty	6/11/2019	7/16/2020
Inactive	Homesite Insurance Company	301139	Agent - Personal Lines	4/27/2015	1/8/2019
Inactive	Homesite Insurance Company	301139	Agent - Property	6/11/2019	7/16/2020
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	6/11/2019	7/16/2020
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Personal Lines	7/11/2017	1/8/2019
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Property	6/11/2019	7/16/2020
Inactive	Jewelers Mutual Insurance Company, SI	301935	Agent - Casualty	3/3/2020	6/24/2020
Inactive	Jewelers Mutual Insurance Company, SI	301935	Agent - Personal Lines	4/3/2017	1/8/2019
Inactive	Jewelers Mutual Insurance Company, SI	301935	Agent - Property	3/3/2020	6/24/2020
Pending Replacement	Massachusetts Bay Insurance Company	300898	Agent - Casualty	11/27/2024
Pending Replacement	Massachusetts Bay Insurance Company	300898	Agent - Property	11/27/2024
Inactive	RLI Insurance Company	301217	Agent - Casualty	2/11/2020	3/11/2021
Inactive	RLI Insurance Company	301217	Agent - Personal Lines	3/27/2018	1/8/2019
Inactive	RLI Insurance Company	301217	Agent - Property	2/11/2020	3/11/2021
Pending Replacement	Verlan Fire Insurance Company	517102	Agent - Casualty	11/27/2024
Pending Replacement	Verlan Fire Insurance Company	517102	Agent - Property	11/27/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Geico Insurance Agency, LLC	558517	Agent - Personal Lines	1/22/2015	1/8/2019
Inactive	Geico Insurance Agency, LLC	558517	Agent - Property	3/27/2019	6/24/2020
Inactive	Geico Insurance Agency, LLC	558517	Agent - Casualty	3/27/2019	6/24/2020