DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Seibt, Zackery Ian	DOIID	1120592	NAIC NPN	17953475

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	2/12/2021		11/30/2025
Active	Non Resident	Agent	Life	2/12/2021		11/30/2025
Active	Non Resident	Agent	Property	2/12/2021		11/30/2025
Active	Non Resident	Agent	Health	2/12/2021		11/30/2025
* 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
Active	ACE American Insurance Company	300625	Agent - Casualty	8/12/2021
Active	ACE American Insurance Company	300625	Agent - Property	8/12/2021
Active	Metropolitan General Insurance Company	300709	Agent - Casualty	8/8/2023
Active	Metropolitan General Insurance Company	300709	Agent - Property	8/8/2023
Active	Metropolitan Life Insurance Company	301948	Agent - Health	8/8/2023
Active	Metropolitan Life Insurance Company	301948	Agent - Life	8/8/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Affinity Insurance Services, Inc.	396178	Agent - Casualty	8/16/2021
Active	Affinity Insurance Services, Inc.	396178	Agent - Life	8/8/2023
Active	Affinity Insurance Services, Inc.	396178	Agent - Health	8/8/2023
Active	Affinity Insurance Services, Inc.	396178	Agent - Property	8/16/2021