DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Borchardt, Premila M	DOIID	1065566	NAIC NPN	19299270

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	11/20/2019		6/30/2026
Active	Non Resident	Agent	Casualty	11/20/2019		6/30/2026
* 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
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	12/17/2019	2/23/2022
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	12/17/2019	2/23/2022
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Casualty	6/28/2021	2/28/2022
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Property	6/28/2021	2/28/2022
Active	Intrepid Casualty Company	1196014	Agent - Casualty	10/17/2023
Active	Intrepid Casualty Company	1196014	Agent - Property	10/17/2023
Active	Intrepid Insurance Company	567182	Agent - Casualty	10/17/2023
Active	Intrepid Insurance Company	567182	Agent - Property	10/17/2023
Inactive	Wellfleet Insurance Company	300542	Agent - Casualty	8/7/2020	8/19/2022
Inactive	Wellfleet New York Insurance Company	300245	Agent - Casualty	8/7/2020	8/19/2022
Inactive	Wellfleet New York Insurance Company	300245	Agent - Property	8/7/2020	8/19/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mylo LLC	973654	Agent - Casualty	12/17/2019	8/19/2022
Inactive	Mylo LLC	973654	Agent - Property	12/17/2019	8/19/2022