DEPARTMENT OF INSURANCE

Affiliations

Name	Kountz, Paul D	DOIID	1069110	NAIC NPN	9499911

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	12/26/2019	3/31/2027
Active	Non Resident	Agent	Property	12/26/2019	3/31/2027
Active	Non Resident	Agent	Health	12/26/2019	3/31/2027
Active	Non Resident	Agent	Casualty	12/26/2019	3/31/2027
Active	Non Resident	Surplus Lines Broker	Not Applicable	12/26/2019	3/31/2027
* 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	ACE American Insurance Company	300625	Agent - Casualty	4/28/2020
Active	ACE American Insurance Company	300625	Agent - Property	4/28/2020
Active	AIG Property Casualty Company	300621	Agent - Casualty	6/27/2020
Active	AIG Property Casualty Company	300621	Agent - Property	6/27/2020
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	10/6/2022
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	10/6/2022
Active	Bankers Standard Insurance Company	301620	Agent - Casualty	4/28/2020
Active	Bankers Standard Insurance Company	301620	Agent - Property	4/28/2020
Active	Chubb Indemnity Insurance Company	300438	Agent - Casualty	4/28/2020
Active	Chubb Indemnity Insurance Company	300438	Agent - Property	4/28/2020
Active	Chubb National Insurance Company	301392	Agent - Casualty	4/28/2020
Active	Chubb National Insurance Company	301392	Agent - Property	4/28/2020
Active	Federal Insurance Company	301144	Agent - Casualty	4/28/2020
Active	Federal Insurance Company	301144	Agent - Property	4/28/2020
Active	Great Northern Insurance Company	301107	Agent - Casualty	4/28/2020
Active	Great Northern Insurance Company	301107	Agent - Property	4/28/2020
Active	Indemnity Insurance Company of North America	301760	Agent - Casualty	4/28/2020
Active	Indemnity Insurance Company of North America	301760	Agent - Property	4/28/2020
Active	Pacific Employers Insurance Company	301753	Agent - Casualty	4/28/2020
Active	Pacific Employers Insurance Company	301753	Agent - Property	4/28/2020
Active	Pacific Indemnity Company	301610	Agent - Casualty	4/28/2020
Active	Pacific Indemnity Company	301610	Agent - Property	4/28/2020
Inactive	Spinnaker Insurance Company	300099	Agent - Casualty	3/14/2022	12/9/2023
Inactive	Spinnaker Insurance Company	300099	Agent - Property	3/14/2022	12/9/2023
Active	Vigilant Insurance Company	301143	Agent - Casualty	4/28/2020
Active	Vigilant Insurance Company	301143	Agent - Property	4/28/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Appalachian Underwriters Inc	519927	Agent - Casualty	8/15/2024
Active	Appalachian Underwriters Inc	519927	Agent - Property	8/15/2024
Active	Appalachian Underwriters Inc	519927	Surplus Lines Broker - Not Applicable	8/15/2024
Active	Reliance Risk Solutions LLC	1070078	Agent - Casualty	1/8/2020
Active	Reliance Risk Solutions LLC	1070078	Agent - Property	1/8/2020
Active	Reliance Risk Solutions LLC	1070078	Surplus Lines Broker - Not Applicable	1/8/2020