DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Forish, Ralitsa	DOIID	1001512	NAIC NPN	9698051

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	7/19/2018	4/30/2024
Inactive	Non Resident	Agent	Property	7/19/2018	4/30/2024
* 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	Federal Insurance Company	301144	Agent - Casualty	2/28/2020	10/10/2023
Inactive	Federal Insurance Company	301144	Agent - Property	2/28/2020	10/10/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Chubb Insurance Solutions Agency Inc.	505858	Agent - Property	2/28/2020	10/10/2023
Inactive	Chubb Insurance Solutions Agency Inc.	505858	Agent - Casualty	2/28/2020	10/10/2023