DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Nisenson, Adam	DOIID	1050804	NAIC NPN	17022029

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	8/8/2019		7/31/2026
Active	Non Resident	Agent	Property	8/8/2019		7/31/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	10/31/2019		7/31/2026
* 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
Active	Fireman's Fund Insurance Company	301423	Agent - Casualty	8/26/2019
Active	Fireman's Fund Insurance Company	301423	Agent - Property	8/26/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arthur J Gallagher & Co Ins Brokers Of California Inc	513894	Agent - Casualty	9/6/2019	2/12/2024
Inactive	Arthur J Gallagher & Co Ins Brokers Of California Inc	513894	Agent - Property	9/6/2019	2/12/2024
Active	Arthur J. Gallagher Risk Management Services, LLC	539806	Surplus Lines Broker - Not Applicable	11/20/2019