DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Simon, Talia Shai	DOIID	1305703	NAIC NPN	18517983

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	10/18/2023		1/31/2025
Active	Non Resident	Agent	Property	10/18/2023		1/31/2025
* 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	11/15/2024	01/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	10/19/2023
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	10/19/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Atlas Ins Agcy Inc	523813	Agent - Casualty	10/19/2023
Active	Atlas Ins Agcy Inc	523813	Agent - Property	10/19/2023