DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Buelow, Dan	DOIID	1096131	NAIC NPN	1573789

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	8/31/2020		9/30/2026
Active	Non Resident	Agent	Property	8/31/2020		9/30/2026
Inactive	Non Resident	Agent	Life	8/31/2020	11/12/2020
Inactive	Non Resident	Agent	Health	8/31/2020	11/12/2020
Active	Non Resident	Surplus Lines Broker	Not Applicable	9/22/2022		9/30/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	07/15/2024	09/30/2024	08/26/2024	08/26/2024	Yes
Surplus Lines Broker	07/15/2024	09/30/2024	08/26/2024	08/26/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Zurich American Insurance Company	301121	Agent - Casualty	9/8/2020
Active	Zurich American Insurance Company	301121	Agent - Property	9/8/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Willis Towers Watson Midwest, Inc.	534348	Agent - Casualty	9/8/2020
Denied	Willis Towers Watson Midwest, Inc.	534348	Agent - Life
Denied	Willis Towers Watson Midwest, Inc.	534348	Agent - Health
Active	Willis Towers Watson Midwest, Inc.	534348	Agent - Property	9/8/2020
Active	Willis Towers Watson Midwest, Inc.	534348	Surplus Lines Broker - Not Applicable	10/4/2022