DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Green, David	DOIID	1074679	NAIC NPN	18703091

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	2/17/2020	12/14/2021
Inactive	Non Resident	Agent	Property	2/17/2020	12/14/2021
* 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	NGM Insurance Company	583837	Agent - Casualty	10/28/2020	12/14/2021
Inactive	NGM Insurance Company	583837	Agent - Property	10/28/2020	12/14/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Business Owners Liability Team LLC	715341	Agent - Casualty
Denied	Business Owners Liability Team LLC	715341	Agent - Property