DEPARTMENT OF INSURANCE
Affiliations
NameBurnett, Regina BensonDOIID1176638NAIC NPN18580734
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentProperty12/10/2021 3/31/2028
ActiveNon ResidentAgentCasualty12/10/2021 3/31/2028
* 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
Agent01/15/202603/31/202602/04/202602/04/2026Yes
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
DeniedAmerican Specialty Insurance & Risk Services, Inc.601367Agent - Casualty  
DeniedAmerican Specialty Insurance & Risk Services, Inc.601367Agent - Property  

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