DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Professional Indemnity Agency Inc of NY	DOIID	557492	NAIC NPN	953709

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	12/2/2002	3/31/2008
Inactive	Non Resident	Agent	Property	12/2/2002	3/31/2008
Inactive	Non Resident	Managing General Agent	Not Applicable	12/2/2002	9/6/2006
* 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	U.S. Specialty Insurance Company	300186	Agent - Casualty	12/2/2002	3/31/2008
Inactive	U.S. Specialty Insurance Company	300186	Agent - Property	12/2/2002	3/31/2008

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Moulton, Cory Lane	621699	Agent - Casualty	2/2/2007	3/31/2008
Inactive	Moulton, Cory Lane	621699	Agent - Property	2/2/2007	3/31/2008
Inactive	Rattner, Mark Edward	320874	Agent - Casualty	12/2/2002	2/2/2007
Inactive	Rattner, Mark Edward	320874	Agent - Property	12/2/2002	2/2/2007