DEPARTMENT OF INSURANCE
Affiliations
NameCiuins LLCDOIID1108522NAIC NPN19690732
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentProperty11/1/20202/28/2023 
InactiveNon ResidentAgentCasualty11/1/20202/28/2023 
InactiveNon ResidentSurplus Lines BrokerNot Applicable11/9/20202/28/2023 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBushong, Charles Robert 577706Agent - Casualty11/1/20202/28/2023
InactiveBushong, Charles Robert 577706Agent - Property11/1/20202/28/2023
InactiveBushong, Charles Robert 577706Surplus Lines Broker - Not Applicable11/9/20202/28/2023

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