DEPARTMENT OF INSURANCE
Affiliations
NameKoziol, James LawrenceDOIID1042879NAIC NPN8904646
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentLife11/12/201911/6/2020 
InactiveNon ResidentAgentCasualty6/7/201911/6/2020 
InactiveNon ResidentAgentTravel 6/7/201911/6/2020 
InactiveNon ResidentAgentProperty6/7/201911/6/2020 
InactiveNon ResidentAgentHealth6/7/201911/6/2020 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Casualty6/7/201911/6/2020
InactiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Health6/7/201911/6/2020
InactiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Property6/7/201911/6/2020
InactiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Travel 6/7/201911/6/2020
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveTravel Guard Assist, Inc.685213Agent - Casualty10/5/202011/6/2020
InactiveTravel Guard Assist, Inc.685213Agent - Health10/5/202011/6/2020
InactiveTravel Guard Assist, Inc.685213Agent - Travel 10/5/202011/6/2020
DeniedTravel Guard Assist, Inc.685213Agent - Life  
InactiveTravel Guard Group Inc.396290Agent - Travel 3/6/202011/6/2020

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