DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Dipuccio, Colleen Isabelle	DOIID	1078093	NAIC NPN	19434851

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	3/16/2020	1/31/2022
Inactive	Non Resident	Agent	Casualty	3/16/2020	1/31/2022
* 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	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	3/24/2020	7/10/2020
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Property	3/24/2020	7/10/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Atlas Ins Agcy Inc	523813	Agent - Casualty	3/25/2020	7/10/2020
Inactive	Atlas Ins Agcy Inc	523813	Agent - Property	3/25/2020	7/10/2020