DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Molina, Ivan	DOIID	1263578	NAIC NPN	8045075

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	3/20/2023		7/31/2026
Active	Non Resident	Agent	Life	3/20/2023		7/31/2026
Active	Non Resident	Agent	Property	3/20/2023		7/31/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	3/28/2023		7/31/2026
* 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	05/15/2024	07/31/2024	06/05/2024	06/05/2024	Yes
Surplus Lines Broker	05/15/2024	07/31/2024	06/05/2024	06/05/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Hartford Fire Insurance Company	300628	Agent - Casualty	8/14/2023
Active	Hartford Fire Insurance Company	300628	Agent - Property	8/14/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Acrisure LLC	696181	Surplus Lines Broker - Not Applicable	4/20/2023