DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bautista, Richelle Anne	DOIID	1121576	NAIC NPN	17664876

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	2/22/2021	5/31/2023
Inactive	Non Resident	Agent	Casualty	2/22/2021	5/31/2023
* 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
Inactive	American Strategic Insurance Corp	883540	Agent - Casualty	4/22/2021	5/31/2023
Inactive	American Strategic Insurance Corp	883540	Agent - Property	4/22/2021	5/31/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Policygenius LLC	874468	Agent - Casualty	8/25/2021	5/31/2023
Inactive	Policygenius LLC	874468	Agent - Property	8/25/2021	5/31/2023