DEPARTMENT OF INSURANCE

Affiliations

Name	Hatlem, David	DOIID	343927	NAIC NPN	241367

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	General Lines	1/27/1994	3/31/1996
Pending Replacement	Non Resident	Agent	Casualty	11/30/2010		6/30/2024
Pending Replacement	Non Resident	Agent	Life	10/30/2023		6/30/2024
Pending Replacement	Non Resident	Agent	Health	9/17/2013		6/30/2024
Pending Replacement	Non Resident	Agent	Property	11/30/2010		6/30/2024
* 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	04/15/2024	06/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	AIG Property Casualty Company	300621	Agent - Casualty	12/3/2013
Pending Replacement	AIG Property Casualty Company	300621	Agent - Property	12/3/2013
Pending Replacement	American Home Assurance Company	300246	Agent - Casualty	12/3/2013
Pending Replacement	American Home Assurance Company	300246	Agent - Property	12/3/2013
Pending Replacement	Employers Insurance Company of Wausau	301813	Agent - Casualty	12/29/2010
Pending Replacement	Employers Insurance Company of Wausau	301813	Agent - Property	12/29/2010
Pending Replacement	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	12/29/2010
Pending Replacement	First Liberty Insurance Corporation (The)	301060	Agent - Property	12/29/2010
Pending Replacement	Granite State Insurance Company	300818	Agent - Casualty	8/31/2015
Pending Replacement	Granite State Insurance Company	300818	Agent - Property	8/31/2015
Pending Replacement	Illinois National Insurance Company	301367	Agent - Casualty	8/31/2015
Pending Replacement	Illinois National Insurance Company	301367	Agent - Property	8/31/2015
Pending Replacement	LM Insurance Corporation	301061	Agent - Casualty	12/29/2010
Pending Replacement	LM Insurance Corporation	301061	Agent - Property	12/29/2010
Pending Replacement	Liberty Insurance Corporation	300444	Agent - Casualty	12/29/2010
Pending Replacement	Liberty Insurance Corporation	300444	Agent - Property	12/29/2010
Pending Replacement	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	12/29/2010
Pending Replacement	Liberty Mutual Fire Insurance Company	301913	Agent - Property	12/29/2010
Pending Replacement	Liberty Mutual Insurance Company	301159	Agent - Casualty	12/29/2010
Pending Replacement	Liberty Mutual Insurance Company	301159	Agent - Property	12/29/2010
Pending Replacement	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	12/3/2013
Pending Replacement	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	12/3/2013
Inactive	Nationwide Affinity Insurance Company of America	300765	Agent - General Lines	3/1/1994	3/31/1996
Pending Replacement	New Hampshire Insurance Company	301670	Agent - Casualty	8/31/2015
Pending Replacement	New Hampshire Insurance Company	301670	Agent - Property	8/31/2015
Inactive	TIG Insurance Company	301750	Agent - General Lines	1/27/1994	3/31/1996
Inactive	Wausau Business Insurance Company	301476	Agent - Casualty	12/29/2010	3/31/2015
Inactive	Wausau Business Insurance Company	301476	Agent - Property	12/29/2010	3/31/2015
Inactive	Wausau Underwriters Insurance Company	301105	Agent - Casualty	12/29/2010	8/31/2015
Inactive	Wausau Underwriters Insurance Company	301105	Agent - Property	12/29/2010	8/31/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bollinger Inc.	401156	Agent - Property	1/20/2011	7/22/2013
Inactive	Bollinger Inc.	401156	Agent - Casualty	1/20/2011	7/22/2013
Inactive	Safehold Special Risk, Inc	658217	Agent - Property	10/30/2023	5/8/2024
Inactive	Safehold Special Risk, Inc	658217	Agent - Casualty	10/30/2023	5/8/2024
Inactive	Safehold Special Risk, Inc	658217	Agent - Health	11/20/2023	5/8/2024
Inactive	Safehold Special Risk, Inc	658217	Agent - Life	11/20/2023	5/8/2024
Inactive	WSIB Insurance Agency, LLC	636524	Agent - Property	2/5/2014	3/31/2024
Inactive	WSIB Insurance Agency, LLC	636524	Agent - Casualty	2/5/2014	3/31/2024
Denied	WSIB Insurance Agency, LLC	636524	Agent - Health