DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Bergstrom, William John	DOIID	1350457	NAIC NPN	2663224

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	7/16/2024		8/31/2026
Active	Non Resident	Agent	Casualty	7/16/2024		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	06/15/2026	08/31/2026

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Acrisure West Insurance Services, LLC	1246860	Agent - Casualty
Denied	Acrisure West Insurance Services, LLC	1246860	Agent - Property
Active	Pennbrook Ins Services Inc	912880	Agent - Casualty	7/17/2024
Active	Pennbrook Ins Services Inc	912880	Agent - Property	7/17/2024