DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Anderson, Justin	DOIID	1209003	NAIC NPN	18948770

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Property	6/3/2022		11/30/2025
Pending Replacement	Non Resident	Agent	Casualty	6/3/2022		11/30/2025
Pending Replacement	Non Resident	Surplus Lines Broker	Not Applicable	6/3/2022		11/30/2025
* 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
Pending Replacement	Zurich American Insurance Company	301121	Agent - Casualty	6/10/2022
Pending Replacement	Zurich American Insurance Company	301121	Agent - Property	6/10/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	Willis Towers Watson Southeast Inc	399919	Agent - Casualty	6/15/2022
Pending Replacement	Willis Towers Watson Southeast Inc	399919	Agent - Property	6/15/2022
Pending Replacement	Willis Towers Watson Southeast Inc	399919	Surplus Lines Broker - Not Applicable	6/15/2022