DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Ballner, Rita D	DOIID	1311471	NAIC NPN	8038206

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	11/20/2023		1/31/2025
Active	Non Resident	Agent	Casualty	11/20/2023		1/31/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	11/27/2023		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
Surplus Lines Broker	11/15/2024	01/31/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending	Woodruff-Sawyer & Co	544186	Agent - Casualty
Pending	Woodruff-Sawyer & Co	544186	Agent - Property
Active	Woodruff-Sawyer & Co	544186	Surplus Lines Broker - Not Applicable	4/2/2024