DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Poremba, Michael Peter	DOIID	552321	NAIC NPN	4071893

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	12/20/2005	6/30/2016
Inactive	Non Resident	Agent	Property	6/20/2002	6/30/2016
Inactive	Non Resident	Agent	Casualty	6/20/2002	6/30/2016
Inactive	Non Resident	Agent	Health	12/20/2005	6/30/2016
* 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	Safety National Casualty Corporation	300390	Agent - Casualty	3/1/2004	6/30/2016
Inactive	Safety National Casualty Corporation	300390	Agent - Property	3/1/2004	6/30/2016
Inactive	Zurich American Insurance Company	301121	Agent - Casualty	6/20/2002	4/30/2012
Inactive	Zurich American Insurance Company	301121	Agent - Property	6/20/2002	4/30/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Premier Insurance Management Services, Inc.	540070	Agent - Casualty	7/19/2002	1/15/2016
Inactive	Premier Insurance Management Services, Inc.	540070	Agent - Property	7/19/2002	1/15/2016