DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Benzo, Marielena	DOIID	1241199	NAIC NPN	20471161

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	11/8/2022		8/31/2026
Active	Non Resident	Agent	Property	11/8/2022		8/31/2026
* 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	06/04/2024	06/04/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Dairyland Insurance Company	301370	Agent - Casualty	10/6/2023
Active	Dairyland Insurance Company	301370	Agent - Property	10/6/2023
Active	Sentry Select Insurance Company	301648	Agent - Casualty	9/28/2023
Active	Sentry Select Insurance Company	301648	Agent - Property	9/28/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Harley-Davidson Ins Services Inc	545855	Agent - Casualty	9/28/2023
Active	Harley-Davidson Ins Services Inc	545855	Agent - Property	9/28/2023