DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Szerokman, Michael Alan	DOIID	1121164	NAIC NPN	19760733

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	2/18/2021		11/30/2024
Active	Non Resident	Agent	Casualty	2/18/2021		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
Active	Independence American Insurance Company	524747	Agent - Casualty	9/11/2023
Active	Independence American Insurance Company	524747	Agent - Property	9/11/2023
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	5/20/2021
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Property	5/20/2021
Active	United States Fire Insurance Company	582240	Agent - Casualty	2/24/2021
Active	United States Fire Insurance Company	582240	Agent - Property	2/24/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	PTZ Insurance Agency LTD	695420	Agent - Casualty	12/6/2022
Active	PTZ Insurance Agency LTD	695420	Agent - Property	12/6/2022