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	Life	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	Health	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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	08/15/2025	10/31/2025

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	Metropolitan Life Insurance Company	301948	Agent - Health	12/6/2024
Active	Metropolitan Life Insurance Company	301948	Agent - Life	12/6/2024
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