DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Siegel, Christopher	DOIID	1143220	NAIC NPN	4602934

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	7/2/2021		8/31/2026
Active	Non Resident	Agent	Property	7/2/2021		8/31/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	7/13/2021		8/31/2026
* 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	Atain Insurance Company	681449	Agent - Casualty	11/1/2022
Active	Atain Insurance Company	681449	Agent - Property	11/1/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Burns & Wilcox Ltd	525929	Agent - Casualty	11/1/2022
Active	Burns & Wilcox Ltd	525929	Agent - Property	11/1/2022
Active	Burns & Wilcox Ltd	525929	Surplus Lines Broker - Not Applicable	9/13/2022