DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Bollert, Geoff Burnham	DOIID	570351	NAIC NPN	7702929

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	6/13/2003		9/30/2025
Active	Non Resident	Agent	Property	6/13/2003		9/30/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	07/15/2025	09/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACE American Insurance Company	300625	Agent - Casualty	12/9/2004
Active	ACE American Insurance Company	300625	Agent - Property	12/9/2004
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	6/28/2003	11/7/2007
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	6/28/2003	11/7/2007
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	6/28/2003	11/4/2009
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	6/28/2003	11/4/2009
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	6/28/2003	11/4/2009
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	6/28/2003	11/4/2009
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	6/28/2003	11/7/2007
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	6/28/2003	11/7/2007
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	6/28/2003	11/7/2007
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	6/28/2003	11/7/2007
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	12/9/2004	10/30/2009
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	12/9/2004	10/30/2009
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	6/28/2003	11/4/2009
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	6/28/2003	11/4/2009
Inactive	Westchester Fire Insurance Company	301414	Agent - Casualty	12/9/2004	10/30/2009
Inactive	Westchester Fire Insurance Company	301414	Agent - Property	12/9/2004	10/30/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assuredpartners Of Washington LLC	862933	Agent - Casualty	8/8/2016	9/27/2023
Inactive	Assuredpartners Of Washington LLC	862933	Agent - Property	8/8/2016	9/27/2023
Inactive	Hall Michael J & Co	552163	Agent - Casualty	12/13/2004	3/31/2018
Inactive	Hall Michael J & Co	552163	Agent - Property	12/13/2004	3/31/2018