DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Hagerman, Douglas Alan	DOIID	511669	NAIC NPN	1576422

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	General Lines	7/17/2000	8/15/2000
Inactive	Non Resident	Agent	Property	8/15/2000	8/4/2003
Inactive	Non Resident	Agent	Casualty	8/15/2000	8/4/2003
* 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 North America Insurance Company	300884	Agent - Casualty	8/15/2000	5/18/2001
Inactive	21st Century North America Insurance Company	300884	Agent - General Lines	7/17/2000	8/15/2000
Inactive	21st Century North America Insurance Company	300884	Agent - Property	8/15/2000	5/18/2001
Inactive	American Home Assurance Company	300246	Agent - Casualty	9/11/2000	5/18/2001
Inactive	American Home Assurance Company	300246	Agent - Property	9/11/2000	5/18/2001
Inactive	Centre Insurance Company	301599	Agent - Casualty	8/1/2001	4/14/2003
Inactive	Centre Insurance Company	301599	Agent - Property	8/1/2001	4/14/2003
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Casualty	7/24/2001	8/4/2003
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Property	7/24/2001	8/4/2003
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	5/22/2001	2/25/2003
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	5/22/2001	2/25/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Securian Financial Network, Inc	400561	Agent - Property	5/21/2001	2/6/2003
Inactive	Securian Financial Network, Inc	400561	Agent - Casualty	5/21/2001	2/6/2003