DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Dziedzic, John Thomas	DOIID	377898	NAIC NPN	7203643

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Casualty	1/13/2012	6/1/2019
Inactive	Resident	Agent	Property	1/6/2012	6/1/2019
Inactive	Resident	Agent	Credit Life & Health	8/15/1995	5/10/1999
Inactive	Resident	Agent	Credit Personal Property & Unemployment	8/29/1995	2/29/2000
Inactive	Resident	Agent	Health	10/28/2011	6/1/2019
Inactive	Resident	Agent	Life	10/28/2011	6/1/2019
Withdrawn	Resident	Agent	Personal Lines
* 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 - Credit Personal Property & Unemployment	8/29/1995	2/29/2000
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Credit Life & Health	10/8/1997	5/10/1999
Inactive	American Health and Life Insurance Company	300844	Agent - Credit Life & Health	8/15/1995	3/31/1997
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Casualty	1/20/2012	6/11/2019
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Property	1/20/2012	6/11/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Reisert Insurance Inc.	399423	Agent - Health
Denied	Reisert Insurance Inc.	399423	Agent - Life
Denied	Reisert Insurance Inc.	399423	Agent - Casualty
Denied	Reisert Insurance Inc.	399423	Agent - Property