DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Wise, Robert J	DOIID	1180904	NAIC NPN	7756488

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	1/3/2022		5/31/2025
Active	Non Resident	Agent	Health	1/3/2022		5/31/2025
Active	Non Resident	Agent	Property	1/3/2022		5/31/2025
Active	Non Resident	Agent	Life	1/3/2022		5/31/2025
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	1/3/2022	6/24/2024
* 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	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	1/30/2022
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	1/30/2022
Active	New Hampshire Insurance Company	301670	Agent - Casualty	1/30/2022
Active	New Hampshire Insurance Company	301670	Agent - Property	1/30/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Glatfelter Underwriting Services Inc	583438	Surplus Lines Broker - Not Applicable	2/21/2022	6/24/2024