DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	SII Inc	DOIID	1008709	NAIC NPN	8795270

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	9/10/2018	3/31/2022
Inactive	Non Resident	Agent	Property	9/10/2018	3/31/2022
* 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	Auto-Owners Insurance Company	301480	Agent - Casualty	9/19/2018	10/13/2021
Inactive	Auto-Owners Insurance Company	301480	Agent - Property	9/19/2018	10/13/2021
Inactive	Benchmark Insurance Company	300374	Agent - Casualty	4/22/2019	3/31/2022
Inactive	Benchmark Insurance Company	300374	Agent - Property	4/22/2019	3/31/2022
Inactive	Westfield Insurance Company	301950	Agent - Casualty	7/6/2020	3/31/2022
Inactive	Westfield Insurance Company	301950	Agent - Property	7/6/2020	3/31/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Lord, Cabot Wesley	1008331	Agent - Casualty	9/10/2018	3/31/2022
Inactive	Lord, Cabot Wesley	1008331	Agent - Property	9/10/2018	3/31/2022