DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Lake, Ryan Sebastian	DOIID	1110470	NAIC NPN	17613503

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	11/13/2020		11/30/2024
Active	Non Resident	Agent	Casualty	11/13/2020		11/30/2024
Active	Non Resident	Agent	Property	11/13/2020		11/30/2024
* 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	09/15/2024	11/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CSAA Fire & Casualty Insurance Company	606666	Agent - Casualty	11/17/2020	2/23/2023
Inactive	CSAA Fire & Casualty Insurance Company	606666	Agent - Property	11/17/2020	2/23/2023
Inactive	CSAA General Insurance Company	606675	Agent - Casualty	11/17/2020	2/23/2023
Inactive	CSAA General Insurance Company	606675	Agent - Property	11/17/2020	2/23/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aaa Allied Insurance Services Inc	546922	Agent - Casualty	11/17/2020	2/23/2023
Denied	Aaa Allied Insurance Services Inc	546922	Agent - Life
Inactive	Aaa Allied Insurance Services Inc	546922	Agent - Property	11/17/2020	2/23/2023
Inactive	Aca Club Insurance Agency, Inc.	1033550	Agent - Casualty	11/17/2020	2/23/2023
Denied	Aca Club Insurance Agency, Inc.	1033550	Agent - Life
Inactive	Aca Club Insurance Agency, Inc.	1033550	Agent - Property	11/17/2020	2/23/2023