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
Inactive	Non Resident	Agent	General Lines	1/27/1994	3/31/1996
Inactive	Non Resident	Agent	Property	11/30/2010	6/30/2024
Inactive	Non Resident	Agent	Life	10/30/2023	6/30/2024
Inactive	Non Resident	Agent	Health	9/17/2013	6/30/2024
Inactive	Non Resident	Agent	Casualty	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.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AIG Property Casualty Company	300621	Agent - Casualty	12/3/2013	6/30/2024
Inactive	AIG Property Casualty Company	300621	Agent - Property	12/3/2013	6/30/2024
Inactive	American Home Assurance Company	300246	Agent - Casualty	12/3/2013	6/30/2024
Inactive	American Home Assurance Company	300246	Agent - Property	12/3/2013	6/30/2024
Inactive	Employers Insurance Company of Wausau	301813	Agent - Casualty	12/29/2010	6/30/2024
Inactive	Employers Insurance Company of Wausau	301813	Agent - Property	12/29/2010	6/30/2024
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	12/29/2010	6/30/2024
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Property	12/29/2010	6/30/2024
Inactive	Granite State Insurance Company	300818	Agent - Casualty	8/31/2015	6/30/2024
Inactive	Granite State Insurance Company	300818	Agent - Property	8/31/2015	6/30/2024
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	8/31/2015	6/30/2024
Inactive	Illinois National Insurance Company	301367	Agent - Property	8/31/2015	6/30/2024
Inactive	LM Insurance Corporation	301061	Agent - Casualty	12/29/2010	6/30/2024
Inactive	LM Insurance Corporation	301061	Agent - Property	12/29/2010	6/30/2024
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	12/29/2010	6/30/2024
Inactive	Liberty Insurance Corporation	300444	Agent - Property	12/29/2010	6/30/2024
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	12/29/2010	6/30/2024
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	12/29/2010	6/30/2024
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	12/29/2010	6/30/2024
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	12/29/2010	6/30/2024
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	12/3/2013	6/30/2024
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	12/3/2013	6/30/2024
Inactive	Nationwide Affinity Insurance Company of America	300765	Agent - General Lines	3/1/1994	3/31/1996
Inactive	New Hampshire Insurance Company	301670	Agent - Casualty	8/31/2015	6/30/2024
Inactive	New Hampshire Insurance Company	301670	Agent - Property	8/31/2015	6/30/2024
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