DEPARTMENT OF INSURANCE

Affiliations

Name	Empire Insurance Agency LLC	DOIID	1364674	NAIC NPN	21319282

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/30/2024		3/31/2028
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Zurich American Insurance Company	301121	Agent - Health	5/28/2026

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Robertson, Scott James	1020414	Agent - Health	9/30/2024