DEPARTMENT OF INSURANCE
Affiliations
NameKurchack, Daniel DOIID1142653NAIC NPN19958486
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentPersonal Lines6/30/2021 10/31/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent08/15/202410/31/2024   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveBristol West Insurance Company301655Agent - Personal Lines7/2/2021 
ActiveFarmers Insurance Exchange300336Agent - Personal Lines7/2/2021 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveFx Insurance Agency, LLC646184Agent - Personal Lines7/2/2021 

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