DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Halsey, Robert Andrew	DOIID	1230424	NAIC NPN	8996862

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	9/16/2022		8/31/2024
Active	Non Resident	Agent	Property	9/16/2022		8/31/2024
Active	Non Resident	Surplus Lines Broker	Not Applicable	9/16/2022		8/31/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	06/15/2024	08/31/2024
Surplus Lines Broker	06/15/2024	08/31/2024

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	12/14/2022
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	12/14/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Lexington Specialty Insurance Agency, Inc.	1101913	Agent - Casualty	2/15/2023
Active	Lexington Specialty Insurance Agency, Inc.	1101913	Agent - Property	2/15/2023
Active	Lexington Specialty Insurance Agency, Inc.	1101913	Surplus Lines Broker - Not Applicable	2/15/2023