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	Casualty	8/15/2000		6/30/2026
Active	Non Resident	Agent	Health	2/27/2009		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.

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
Inactive	Atlantic Specialty Insurance Company	518595	Agent - Casualty	8/6/2020	4/18/2025
Inactive	Atlantic Specialty Insurance Company	518595	Agent - Property	8/6/2020	4/18/2025
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
Active	First Founders Assurance Company	1363276	Agent - Casualty	4/8/2025
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