DEPARTMENT OF INSURANCE

Affiliations

Name	Zack, Kathy Susan	DOIID	380545	NAIC NPN	259104

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	2/27/2009		6/30/2026
Active	Non Resident	Agent	Casualty	8/15/2000		6/30/2026
Active	Non Resident	Agent	Life	2/27/2009		6/30/2026
Active	Non Resident	Agent	Property	8/15/2000		6/30/2026
Inactive	Non Resident	Agent	General Lines	2/15/1990	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	04/15/2024	06/30/2024	05/09/2024	05/09/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	AIU Insurance Company	300729	Agent - Casualty	8/15/2000
Inactive	AIU Insurance Company	300729	Agent - General Lines	7/6/1999	8/15/2000
Active	AIU Insurance Company	300729	Agent - Property	8/15/2000
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Casualty	8/15/2000	12/5/2008
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - General Lines	2/3/1997	8/15/2000
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Property	8/15/2000	12/5/2008
Inactive	American Economy Insurance Company	300315	Agent - Casualty	11/8/2019	5/27/2022
Inactive	American Economy Insurance Company	300315	Agent - Property	11/8/2019	5/27/2022
Active	American Home Assurance Company	300246	Agent - Casualty	8/15/2000
Inactive	American Home Assurance Company	300246	Agent - General Lines	7/6/1999	8/15/2000
Active	American Home Assurance Company	300246	Agent - Property	8/15/2000
Active	Atlantic Specialty Insurance Company	518595	Agent - Casualty	8/6/2020
Active	Atlantic Specialty Insurance Company	518595	Agent - Property	8/6/2020
Inactive	Auto-Owners Insurance Company	301480	Agent - Casualty	2/12/2014	12/22/2015
Inactive	Auto-Owners Insurance Company	301480	Agent - Property	2/12/2014	12/22/2015
Inactive	Auto-Owners Life Insurance Company	301368	Agent - Health	5/27/2009	2/12/2014
Inactive	Auto-Owners Life Insurance Company	301368	Agent - Life	5/27/2009	2/12/2014
Inactive	Commercial Insurance Company of Newark, New Jersey	300328	Agent - General Lines	2/6/1997	3/31/1998
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	9/8/2007	10/13/2022
Inactive	Consolidated Insurance Company	300943	Agent - Property	9/8/2007	10/13/2022
Inactive	Continental Casualty Company	301019	Agent - Casualty	8/15/2000	12/5/2008
Inactive	Continental Casualty Company	301019	Agent - General Lines	2/3/1997	8/15/2000
Inactive	Continental Casualty Company	301019	Agent - Property	8/15/2000	12/5/2008
Inactive	Continental Insurance Company (The)	301242	Agent - General Lines	2/6/1997	3/31/1998
Inactive	Fidelity and Casualty Company of New York (The)	300160	Agent - General Lines	2/6/1997	3/31/1998
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Casualty	11/13/2001	3/15/2010
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Property	11/13/2001	3/15/2010
Inactive	Firemen's Insurance Company of Newark, New Jersey	300247	Agent - General Lines	2/6/1997	3/31/1998
Inactive	First National Insurance Company of America	301690	Agent - Casualty	10/7/2008	5/27/2022
Inactive	First National Insurance Company of America	301690	Agent - Property	10/7/2008	5/27/2022
Inactive	General Insurance Company of America	300261	Agent - Casualty	10/7/2008	5/27/2022
Inactive	General Insurance Company of America	300261	Agent - Property	10/7/2008	5/27/2022
Inactive	Glens Falls Insurance Company (The)	301922	Agent - General Lines	2/6/1997	12/30/1999
Inactive	Great American Insurance Company	301586	Agent - Casualty	8/15/2000	1/14/2002
Inactive	Great American Insurance Company	301586	Agent - General Lines	2/24/1992	8/15/2000
Inactive	Great American Insurance Company	301586	Agent - Property	8/15/2000	1/14/2002
Inactive	Guarantee Company of North America USA (The)	300857	Agent - Casualty	7/6/2017	12/18/2023
Inactive	Guarantee Company of North America USA (The)	300857	Agent - Property	7/6/2017	12/18/2023
Inactive	Indiana Insurance Company	301909	Agent - Casualty	9/8/2007	2/3/2023
Inactive	Indiana Insurance Company	301909	Agent - Property	9/8/2007	2/3/2023
Inactive	International Fidelity Insurance Company	301131	Agent - Casualty	8/15/2000	2/26/2002
Inactive	International Fidelity Insurance Company	301131	Agent - General Lines	2/15/1990	8/15/2000
Inactive	Kanawha Insurance Company	300127	Agent - Health	11/8/2010	3/22/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	11/8/2010	3/22/2013
Inactive	Kansas City Fire and Marine Insurance Company	301936	Agent - General Lines	2/6/1997	3/31/1998
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Casualty	8/15/2000	12/5/2008
Inactive	National Fire Insurance Company of Hartford	301063	Agent - General Lines	2/6/1997	8/15/2000
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Property	8/15/2000	12/5/2008
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	8/15/2000
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - General Lines	7/6/1999	8/15/2000
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	8/15/2000
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	9/8/2007	4/26/2024
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	9/8/2007	4/26/2024
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	7/28/2006	5/27/2022
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	7/28/2006	5/27/2022
Inactive	Old Republic Insurance Company	301225	Agent - Casualty	5/5/2008	2/16/2022
Inactive	Owners Insurance Company	300796	Agent - Casualty	2/12/2014	12/22/2015
Inactive	Owners Insurance Company	300796	Agent - Property	2/12/2014	12/22/2015
Active	Peerless Indemnity Insurance Company	571682	Agent - Casualty	9/8/2007
Active	Peerless Indemnity Insurance Company	571682	Agent - Property	9/8/2007
Active	Peerless Insurance Company	301910	Agent - Casualty	9/8/2007
Active	Peerless Insurance Company	301910	Agent - Property	9/8/2007
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	10/7/2008
Active	SAFECO Insurance Company of America	300159	Agent - Property	10/7/2008
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	10/7/2008	5/27/2022
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	10/7/2008	5/27/2022
Active	Selective Insurance Company of America	500018	Agent - Casualty	12/4/2012
Active	Selective Insurance Company of America	500018	Agent - Property	12/4/2012
Active	Selective Insurance Company of South Carolina	500012	Agent - Casualty	12/4/2012
Active	Selective Insurance Company of South Carolina	500012	Agent - Property	12/4/2012
Active	Selective Insurance Company of the Southeast	300381	Agent - Casualty	12/4/2012
Active	Selective Insurance Company of the Southeast	300381	Agent - Property	12/4/2012
Inactive	Star Insurance Company	301553	Agent - Casualty	8/15/2000	8/22/2005
Inactive	Star Insurance Company	301553	Agent - General Lines	1/31/1997	8/15/2000
Inactive	Star Insurance Company	301553	Agent - Property	8/15/2000	8/22/2005
Inactive	Transcontinental Insurance Company	301731	Agent - Casualty	8/15/2000	9/26/2007
Inactive	Transcontinental Insurance Company	301731	Agent - General Lines	2/5/1997	8/15/2000
Inactive	Transcontinental Insurance Company	301731	Agent - Property	8/15/2000	9/26/2007
Inactive	Transportation Insurance Company	301575	Agent - Casualty	8/15/2000	12/5/2008
Inactive	Transportation Insurance Company	301575	Agent - General Lines	2/6/1997	8/15/2000
Inactive	Transportation Insurance Company	301575	Agent - Property	8/15/2000	12/5/2008
Active	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	11/20/2000
Active	Travelers Casualty and Surety Company of America	301334	Agent - Property	11/20/2000
Active	Trisura Insurance Company	1077019	Agent - Casualty	3/15/2023
Inactive	Valley Forge Insurance Company	301052	Agent - Casualty	8/15/2000	12/5/2008
Inactive	Valley Forge Insurance Company	301052	Agent - General Lines	2/6/1997	8/15/2000
Inactive	Valley Forge Insurance Company	301052	Agent - Property	8/15/2000	12/5/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Cornish-Zack-Hill & Assoc Inc	519928	Agent - Property	8/15/2000	2/11/2021
Inactive	Cornish-Zack-Hill & Assoc Inc	519928	Agent - Casualty	8/15/2000	2/11/2021
Inactive	Cornish-Zack-Hill & Assoc Inc	519928	Agent - Health	6/19/2009	2/11/2021
Inactive	Cornish-Zack-Hill & Assoc Inc	519928	Agent - Life	6/19/2009	2/11/2021
Active	Hylant Group, Inc.	523019	Agent - Property	11/4/2020
Active	Hylant Group, Inc.	523019	Agent - Casualty	11/4/2020
Denied	Hylant Group, Inc.	523019	Agent - Health
Denied	Hylant Group, Inc.	523019	Agent - Life