DEPARTMENT OF INSURANCE

Affiliations

Name	Mastroberardino, Donato	DOIID	336710	NAIC NPN	2890821

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/30/1999		10/31/2025
Active	Non Resident	Agent	Property	8/15/2000		10/31/2025
Active	Non Resident	Agent	Casualty	8/15/2000		10/31/2025
Active	Non Resident	Agent	Life	9/30/1999		10/31/2025
Inactive	Non Resident	Agent	General Lines	10/4/1999	8/15/2000
* 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	ACE American Insurance Company	300625	Agent - Casualty	9/29/2007
Active	ACE American Insurance Company	300625	Agent - Property	9/29/2007
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/22/2023
Active	Anthem Life Insurance Company	301209	Agent - Health	8/22/2023
Active	Anthem Life Insurance Company	301209	Agent - Life	8/22/2023
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	8/15/2000	10/23/2002
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - General Lines	3/13/2000	8/15/2000
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	8/15/2000	10/23/2002
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	8/15/2000	4/18/2003
Inactive	Hartford Accident and Indemnity Company	301917	Agent - General Lines	10/14/1999	8/15/2000
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	8/15/2000	4/18/2003
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	8/15/2000	4/18/2003
Inactive	Hartford Casualty Insurance Company	301332	Agent - General Lines	10/14/1999	8/15/2000
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	8/15/2000	4/18/2003
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	8/15/2000	4/18/2003
Inactive	Hartford Fire Insurance Company	300628	Agent - General Lines	10/14/1999	8/15/2000
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	8/15/2000	4/18/2003
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	8/15/2000	4/18/2003
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - General Lines	10/6/1999	8/15/2000
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	8/15/2000	4/18/2003
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	9/30/1999	10/1/2007
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	9/30/1999	10/1/2007
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	8/15/2000	4/18/2003
Inactive	Hartford Underwriters Insurance Company	301064	Agent - General Lines	10/14/1999	8/15/2000
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	8/15/2000	4/18/2003
Active	Indemnity Insurance Company of North America	301760	Agent - Casualty	9/29/2007
Active	Indemnity Insurance Company of North America	301760	Agent - Property	9/29/2007
Active	Life Insurance Company of North America	300711	Agent - Health	12/28/1999
Active	Life Insurance Company of North America	300711	Agent - Life	12/28/1999
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	2/21/2006
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	2/21/2006
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	2/21/2006
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	8/15/2000	10/23/2002
Inactive	The Phoenix Insurance Company	301502	Agent - General Lines	3/13/2000	8/15/2000
Inactive	The Phoenix Insurance Company	301502	Agent - Property	8/15/2000	10/23/2002
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	8/15/2000	10/23/2002
Inactive	Travelers Indemnity Company (The)	301855	Agent - General Lines	3/13/2000	8/15/2000
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	8/15/2000	10/23/2002
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	8/15/2000	10/23/2002
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - General Lines	3/13/2000	8/15/2000
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	8/15/2000	10/23/2002
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	8/15/2000	10/23/2002
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - General Lines	3/13/2000	8/15/2000
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	8/15/2000	10/23/2002
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	8/15/2000	10/23/2002
Inactive	Travelers Property Casualty Company of America	301649	Agent - General Lines	3/13/2000	8/15/2000
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	8/15/2000	10/23/2002
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	8/15/2000	4/18/2003
Inactive	Twin City Fire Insurance Company	300721	Agent - General Lines	10/4/1999	8/15/2000
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	8/15/2000	4/18/2003
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	4/5/2004	12/14/2009
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	4/5/2004	12/14/2009
Inactive	Virginia Surety Company, Inc.	301022	Agent - Casualty	7/22/2002	6/26/2009
Inactive	Virginia Surety Company, Inc.	301022	Agent - Health	7/22/2002	11/5/2009
Inactive	Virginia Surety Company, Inc.	301022	Agent - Property	7/22/2002	6/26/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Insperity Insurance Services L.L.C	573626	Agent - Life	7/28/2003
Active	Insperity Insurance Services L.L.C	573626	Agent - Health	7/28/2003
Active	Insperity Insurance Services L.L.C	573626	Agent - Property	7/28/2003
Active	Insperity Insurance Services L.L.C	573626	Agent - Casualty	7/28/2003
Inactive	Paychex Insurance Agency Inc	509469	Agent - Life	5/30/2000	5/20/2002
Inactive	Paychex Insurance Agency Inc	509469	Agent - Health	5/30/2000	5/20/2002
Inactive	Paychex Insurance Agency Inc	509469	Agent - Property	8/15/2000	5/20/2002
Inactive	Paychex Insurance Agency Inc	509469	Agent - Casualty	8/15/2000	5/20/2002