DEPARTMENT OF INSURANCE

Affiliations

Name	Poljak, Diane	DOIID	1137934	NAIC NPN	8434648

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	6/4/2021	8/31/2025
Active	Non Resident	Agent	Health	6/4/2021	8/31/2025
Active	Non Resident	Agent	Life	6/4/2021	8/31/2025
Active	Non Resident	Agent	Property	6/4/2021	8/31/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	6/4/2021	8/31/2025
* 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	AIG Property Casualty Company	300621	Agent - Casualty	10/23/2021
Active	AIG Property Casualty Company	300621	Agent - Property	10/23/2021
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Casualty	9/26/2023	2/7/2024
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Property	9/26/2023	2/7/2024
Active	Auto-Owners Insurance Company	301480	Agent - Casualty	3/30/2022
Active	Auto-Owners Insurance Company	301480	Agent - Property	3/30/2022
Active	Continental Casualty Company	301019	Agent - Casualty	12/7/2023
Active	Continental Casualty Company	301019	Agent - Property	12/7/2023
Inactive	Continental Insurance Company (The)	301242	Agent - Casualty	9/26/2023	2/7/2024
Inactive	Continental Insurance Company (The)	301242	Agent - Property	9/26/2023	2/7/2024
Active	Manufacturers Alliance Insurance Company	519940	Agent - Casualty	10/5/2022
Active	Manufacturers Alliance Insurance Company	519940	Agent - Property	10/5/2022
Active	Owners Insurance Company	300796	Agent - Casualty	3/30/2022
Active	Owners Insurance Company	300796	Agent - Property	3/30/2022
Active	Pennsylvania Manufacturers Association Insurance Company	300228	Agent - Casualty	10/5/2022
Active	Pennsylvania Manufacturers Association Insurance Company	300228	Agent - Property	10/5/2022
Active	Pennsylvania Manufacturers Indemnity Company	519939	Agent - Casualty	10/5/2022
Active	Pennsylvania Manufacturers Indemnity Company	519939	Agent - Property	10/5/2022
Active	Privilege Underwriters Reciprocal Exchange	769657	Agent - Casualty	12/9/2022
Active	Privilege Underwriters Reciprocal Exchange	769657	Agent - Property	12/9/2022
Active	Westfield Insurance Company	301950	Agent - Casualty	12/4/2023
Active	Westfield Insurance Company	301950	Agent - Property	12/4/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Marsh & Mclennan Agency LLC	716460	Agent - Casualty	2/14/2024
Denied	Marsh & Mclennan Agency LLC	716460	Agent - Life
Denied	Marsh & Mclennan Agency LLC	716460	Agent - Health
Active	Marsh & Mclennan Agency LLC	716460	Agent - Property	2/14/2024