DEPARTMENT OF INSURANCE

Affiliations

Name	Irwin Siegel Agency, Inc.	DOIID	401154	NAIC NPN	654183

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Administrator	Not Applicable	3/25/1999	5/1/2009
Denied	Non Resident	Agent	Health	7/19/1999
Inactive	Non Resident	Agent	General Lines	7/19/1999	8/15/2000
Inactive	Non Resident	Agent	Life	7/19/1999	8/16/2006
Inactive	Non Resident	Agent	Casualty	8/15/2000	3/31/2019
Inactive	Non Resident	Agent	Property	8/15/2000	3/31/2019
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	3/18/2009	3/31/2019
* 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	21st Century Centennial Insurance Company	301840	Agent - Casualty	11/20/2006	9/17/2011
Inactive	21st Century Centennial Insurance Company	301840	Agent - Property	11/20/2006	9/17/2011
Inactive	21st Century North America Insurance Company	300884	Agent - Casualty	11/20/2006	9/17/2011
Inactive	21st Century North America Insurance Company	300884	Agent - Property	11/20/2006	9/17/2011
Inactive	ACE American Insurance Company	300625	Agent - Casualty	10/21/2008	4/11/2019
Inactive	ACE American Insurance Company	300625	Agent - Property	10/21/2008	4/11/2019
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	4/22/2010	4/11/2019
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Property	4/22/2010	4/11/2019
Inactive	AIG Assurance Company	300897	Agent - Casualty	11/20/2003	3/31/2019
Inactive	AIG Assurance Company	300897	Agent - Property	11/20/2003	3/31/2019
Inactive	AIG Property Casualty Company	300621	Agent - Casualty	8/1/2011	3/31/2019
Inactive	AIG Property Casualty Company	300621	Agent - Property	8/1/2011	3/31/2019
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Casualty	8/15/2000	7/2/2010
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - General Lines	7/19/1999	8/15/2000
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Property	8/15/2000	7/2/2010
Inactive	American Home Assurance Company	300246	Agent - Casualty	11/20/2006	3/31/2019
Inactive	American Home Assurance Company	300246	Agent - Property	11/20/2006	3/31/2019
Inactive	Bankers Standard Insurance Company	301620	Agent - Casualty	12/31/2008	4/11/2019
Inactive	Bankers Standard Insurance Company	301620	Agent - Property	12/31/2008	4/11/2019
Inactive	Berkshire Hathaway Specialty Insurance Company	300908	Agent - Casualty	4/24/2015	5/22/2019
Inactive	Berkshire Hathaway Specialty Insurance Company	300908	Agent - Property	4/24/2015	5/22/2019
Inactive	Chubb Indemnity Insurance Company	300438	Agent - Casualty	3/11/2016	4/11/2019
Inactive	Chubb Indemnity Insurance Company	300438	Agent - Property	3/11/2016	4/11/2019
Inactive	Chubb National Insurance Company	301392	Agent - Casualty	3/11/2016	4/11/2019
Inactive	Chubb National Insurance Company	301392	Agent - Property	3/11/2016	4/11/2019
Inactive	Continental Casualty Company	301019	Agent - Casualty	8/15/2000	7/2/2010
Inactive	Continental Casualty Company	301019	Agent - General Lines	7/19/1999	8/15/2000
Inactive	Continental Casualty Company	301019	Agent - Property	8/15/2000	7/2/2010
Inactive	Continental Insurance Company (The)	301242	Agent - Casualty	8/23/2002	7/2/2010
Inactive	Continental Insurance Company (The)	301242	Agent - Property	8/23/2002	7/2/2010
Inactive	Executive Risk Indemnity Inc.	301510	Agent - Casualty	3/11/2016	4/11/2019
Inactive	Federal Insurance Company	301144	Agent - Casualty	3/9/2016	4/11/2019
Inactive	Federal Insurance Company	301144	Agent - Property	3/9/2016	4/11/2019
Inactive	Granite State Insurance Company	300818	Agent - Casualty	11/20/2003	3/31/2019
Inactive	Granite State Insurance Company	300818	Agent - Property	11/20/2003	3/31/2019
Inactive	Great Northern Insurance Company	301107	Agent - Casualty	3/11/2016	4/11/2019
Inactive	Great Northern Insurance Company	301107	Agent - Property	3/11/2016	4/11/2019
Inactive	Greenwich Insurance Company	301754	Agent - Casualty	8/27/2012	9/12/2017
Inactive	Greenwich Insurance Company	301754	Agent - Property	8/27/2012	9/12/2017
Inactive	Guarantee Insurance Company	300611	Agent - Casualty	12/1/2009	12/18/2017
Inactive	Guarantee Insurance Company	300611	Agent - Property	12/1/2009	12/18/2017
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	11/20/2003	3/31/2019
Inactive	Illinois National Insurance Company	301367	Agent - Property	11/20/2003	3/31/2019
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	12/31/2008	4/11/2019
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	12/31/2008	4/11/2019
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Casualty	8/15/2000	7/2/2010
Inactive	National Fire Insurance Company of Hartford	301063	Agent - General Lines	7/19/1999	8/15/2000
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Property	8/15/2000	7/2/2010
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	11/20/2003	3/31/2019
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	11/20/2003	3/31/2019
Inactive	New Hampshire Insurance Company	301670	Agent - Casualty	11/20/2003	3/31/2019
Inactive	New Hampshire Insurance Company	301670	Agent - Property	11/20/2003	3/31/2019
Inactive	Pacific Employers Insurance Company	301753	Agent - Casualty	10/21/2008	4/11/2019
Inactive	Pacific Employers Insurance Company	301753	Agent - Property	10/21/2008	4/11/2019
Inactive	Pacific Indemnity Company	301610	Agent - Casualty	3/11/2016	4/11/2019
Inactive	Pacific Indemnity Company	301610	Agent - Property	3/11/2016	4/11/2019
Inactive	Transcontinental Insurance Company	301731	Agent - Casualty	10/31/2002	9/27/2007
Inactive	Transcontinental Insurance Company	301731	Agent - Property	10/31/2002	9/27/2007
Inactive	Transportation Insurance Company	301575	Agent - Casualty	8/15/2000	7/2/2010
Inactive	Transportation Insurance Company	301575	Agent - General Lines	7/19/1999	8/15/2000
Inactive	Transportation Insurance Company	301575	Agent - Property	8/15/2000	7/2/2010
Inactive	Valley Forge Insurance Company	301052	Agent - Casualty	10/31/2002	7/2/2010
Inactive	Valley Forge Insurance Company	301052	Agent - Property	10/31/2002	7/2/2010
Inactive	Vigilant Insurance Company	301143	Agent - Casualty	3/11/2016	4/11/2019
Inactive	Vigilant Insurance Company	301143	Agent - Property	3/11/2016	4/11/2019
Inactive	Westchester Fire Insurance Company	301414	Agent - Casualty	6/19/2009	1/1/2011
Inactive	Westchester Fire Insurance Company	300990	Agent - Casualty	1/1/2011	4/11/2019
Inactive	Westchester Fire Insurance Company	301414	Agent - Property	6/19/2009	1/1/2011
Inactive	Westchester Fire Insurance Company	300990	Agent - Property	1/1/2011	4/11/2019
Inactive	Wilcac Life Insurance Company	301573	Agent - Health	7/19/1999	12/17/2004
Inactive	Wilcac Life Insurance Company	301573	Agent - Life	7/19/1999	12/17/2004
Inactive	XL Insurance America, Inc.	300182	Agent - Casualty	8/27/2012	9/12/2017
Inactive	XL Insurance America, Inc.	300182	Agent - Property	8/27/2012	9/12/2017
Inactive	XL Specialty Insurance Company	301605	Agent - Casualty	8/27/2012	9/12/2017
Inactive	XL Specialty Insurance Company	301605	Agent - Property	8/27/2012	9/12/2017

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Chicko, Mary L	336725	Agent - Casualty	8/15/2000	5/31/2006
Inactive	Chicko, Mary L	336725	Agent - General Lines	7/19/1999	8/15/2000
Inactive	Chicko, Mary L	336725	Agent - Property	8/15/2000	5/31/2006
Inactive	Nola, Deborah M	535759	Agent - Casualty	2/24/2003	10/31/2018
Inactive	Nola, Deborah M	535759	Agent - Property	2/24/2003	10/31/2018
Inactive	Shaw, Sheila R	389573	Agent - Casualty	8/15/2000	3/31/2019
Inactive	Shaw, Sheila R	389573	Agent - General Lines	7/19/1999	8/15/2000
Inactive	Shaw, Sheila R	389573	Agent - Property	8/15/2000	3/31/2019
Inactive	Siegel, Howard Abraham	328323	Administrator - Not Applicable	3/25/1999	2/28/2009
Inactive	Siegel, Howard Abraham	328323	Agent - Casualty	2/4/2005	3/31/2019
Denied	Siegel, Howard Abraham	328323	Agent - Health
Denied	Siegel, Howard Abraham	328323	Agent - Life
Inactive	Siegel, Howard Abraham	328323	Agent - Property	2/4/2005	3/31/2019
Inactive	Siegel, Howard Abraham	328323	Surplus Lines Broker - Not Applicable	3/18/2009	3/31/2019
Inactive	Tanzman, Mark L	349626	Agent - Casualty	8/15/2000	11/6/2001
Inactive	Tanzman, Mark L	349626	Agent - General Lines	7/19/1999	8/15/2000
Inactive	Tanzman, Mark L	349626	Agent - Property	8/15/2000	11/6/2001