DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Malkoch , Courtney M	DOIID	1025110	NAIC NPN	5717275

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	1/11/2019		8/31/2024
Active	Non Resident	Agent	Casualty	1/11/2019		8/31/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	06/15/2024	08/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AXIS Insurance Company	301290	Agent - Casualty	2/23/2021	5/29/2024
Inactive	AXIS Insurance Company	301290	Agent - Property	2/23/2021	5/29/2024
Inactive	XL Specialty Insurance Company	301605	Agent - Casualty	1/14/2019	4/19/2024
Inactive	XL Specialty Insurance Company	301605	Agent - Property	1/14/2019	4/19/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fetch Insurance Services LLC	705274	Agent - Casualty	3/4/2019	6/29/2023
Inactive	Fetch Insurance Services LLC	705274	Agent - Property	3/4/2019	6/29/2023