DEPARTMENT OF INSURANCE

Affiliations

Name	Harlos, Marian	DOIID	520533	NAIC NPN	1147318

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	10/15/2004	2/28/2019
Inactive	Non Resident	Agent	Casualty	10/15/2004	2/28/2019
Inactive	Non Resident	Agent	Life	11/29/2011	2/28/2019
Inactive	Non Resident	Agent	Health	11/29/2011	2/28/2019
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	5/17/2011	3/1/2018
* 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	ACE American Insurance Company	300625	Agent - Casualty	7/2/2013	2/28/2019
Inactive	ACE American Insurance Company	300625	Agent - Property	7/2/2013	2/28/2019
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	10/6/2006	2/28/2019
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Property	10/6/2006	2/28/2019
Inactive	Arch Insurance Company	300688	Agent - Casualty	4/7/2008	2/28/2019
Inactive	Arch Insurance Company	300688	Agent - Property	4/7/2008	2/28/2019
Inactive	Colonial American Casualty & Surety Company	300769	Agent - Casualty	10/6/2006	2/28/2019
Inactive	Colonial American Casualty & Surety Company	300769	Agent - Property	10/6/2006	2/28/2019
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Casualty	10/6/2006	2/28/2019
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Property	10/6/2006	2/28/2019
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	11/12/2012	2/6/2018
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/12/2012	2/6/2018
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	11/12/2012	8/21/2017
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	11/12/2012	8/21/2017
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	11/12/2012	8/21/2017
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	11/12/2012	8/21/2017
Inactive	Hanover Insurance Company (The)	300508	Agent - Casualty	10/19/2011	2/28/2019
Inactive	Hanover Insurance Company (The)	300508	Agent - Property	10/19/2011	2/28/2019
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	12/23/2013	2/26/2015
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	12/23/2013	2/26/2015
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	7/2/2013	2/28/2019
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	7/2/2013	2/28/2019
Inactive	Zurich American Insurance Company	301121	Agent - Casualty	10/6/2006	2/28/2019
Inactive	Zurich American Insurance Company	301121	Agent - Property	10/6/2006	2/28/2019
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	10/6/2006	2/28/2019
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Property	10/6/2006	2/28/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Marsh & Mclennan Agency LLC	716460	Agent - Property	3/17/2014	2/28/2019
Inactive	Marsh & Mclennan Agency LLC	716460	Agent - Casualty	3/17/2014	2/28/2019
Inactive	Marsh & Mclennan Agency LLC	716460	Surplus Lines Broker - Not Applicable	8/16/2016	3/1/2018
Denied	Marsh & Mclennan Agency LLC	716460	Agent - Health
Denied	Marsh & Mclennan Agency LLC	716460	Agent - Life
Inactive	Seabury & Smith Inc	394854	Agent - Property	10/8/2010	12/8/2016
Inactive	Seabury & Smith Inc	394854	Agent - Casualty	10/8/2010	12/8/2016
Inactive	Seabury & Smith Inc	394854	Surplus Lines Broker - Not Applicable	12/19/2013	3/1/2018
Inactive	Seabury & Smith Inc	394854	Agent - Health	8/30/2016	12/8/2016
Inactive	Seabury & Smith Inc	394854	Agent - Life	8/30/2016	12/8/2016