DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Cloetingh, Thomas Keppel	DOIID	316090	NAIC NPN	233964

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	General Lines	5/20/1992	8/15/2000
Inactive	Non Resident	Agent	Property	8/15/2000	4/16/2013
Inactive	Non Resident	Agent	Casualty	8/15/2000	4/16/2013
* 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
Inactive	American Bankers Insurance Company of Florida	300360	Agent - Casualty	1/26/2009	3/4/2013
Inactive	American Bankers Insurance Company of Florida	300360	Agent - Property	1/26/2009	3/4/2013
Inactive	American Reliable Insurance Company	301889	Agent - Casualty	4/25/2003	3/4/2013
Inactive	American Reliable Insurance Company	301889	Agent - Property	4/25/2003	3/4/2013
Inactive	American Security Insurance Company	300901	Agent - Casualty	11/4/2008	3/4/2013
Inactive	American Security Insurance Company	300901	Agent - Property	11/4/2008	3/4/2013
Inactive	Bankers Standard Insurance Company	301620	Agent - Casualty	8/15/2000	12/30/2003
Inactive	Bankers Standard Insurance Company	301620	Agent - General Lines	8/18/1992	8/15/2000
Inactive	Bankers Standard Insurance Company	301620	Agent - Property	8/15/2000	12/30/2003
Inactive	Insurance Company of North America	300226	Agent - Casualty	8/15/2000	12/30/2003
Inactive	Insurance Company of North America	300226	Agent - General Lines	5/20/1992	8/15/2000
Inactive	Insurance Company of North America	300226	Agent - Property	8/15/2000	12/30/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	The Signal	526761	Agent - Property	2/25/2009	3/15/2011
Inactive	The Signal	526761	Agent - Casualty	2/25/2009	3/15/2011