DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Customized Services Administrators, Incorporated DBA : CSA Travel Protection and Insurance Services, Generali Global Assistance & Insurance Services	DOIID	579292	NAIC NPN	660418

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	3/13/2013		3/31/2026
Active	Non Resident	Agent	Casualty	2/12/2004		3/31/2026
Active	Non Resident	Agent	Health	3/6/2007		3/31/2026
Active	Non Resident	Agent	Property	2/12/2004		3/31/2026
Active	Non Resident	Agent	Travel	4/29/2013		3/31/2026
Active	Non Resident	Independent Adjuster	Property & Casualty	6/14/2023		3/31/2026
Active	Non Resident	Managing General Agent	Not Applicable	11/6/2006		3/31/2026
* 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
Active	Generali - U.S. Branch	301128	Agent - Casualty	2/22/2013
Active	Generali - U.S. Branch	301128	Agent - Health	2/22/2013
Active	Generali - U.S. Branch	301128	Agent - Property	2/22/2013
Active	Generali - U.S. Branch	301128	Agent - Travel	9/14/2015
Active	North River Insurance Company (The)	301739	Agent - Casualty	11/7/2006
Active	North River Insurance Company (The)	301739	Agent - Health	4/15/2024
Active	North River Insurance Company (The)	301739	Agent - Property	11/7/2006
Active	North River Insurance Company (The)	301739	Agent - Travel	4/15/2024
Inactive	Transamerica Casualty Insurance Company	300311	Agent - Casualty	2/20/2004	3/2/2020
Inactive	Transamerica Casualty Insurance Company	300311	Agent - Property	2/20/2004	3/2/2020
Active	United States Fire Insurance Company	582240	Agent - Casualty	11/7/2006
Active	United States Fire Insurance Company	582240	Agent - Health	4/15/2024
Active	United States Fire Insurance Company	582240	Agent - Property	11/7/2006
Active	United States Fire Insurance Company	582240	Agent - Travel	4/15/2024
Inactive	Work First Casualty Company	300561	Agent - Casualty	3/10/2004	7/6/2005
Inactive	Work First Casualty Company	300561	Agent - Property	3/10/2004	7/6/2005

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Chambers, Robert Joseph	360104	Agent - Casualty	9/4/2012	7/31/2020
Denied	Chambers, Robert Joseph	360104	Agent - Health
Inactive	Chambers, Robert Joseph	360104	Agent - Life	4/4/2013	7/31/2020
Inactive	Chambers, Robert Joseph	360104	Agent - Property	9/4/2012	7/31/2020
Inactive	Chambers, Robert Joseph	360104	Agent - Travel	7/5/2013	7/31/2020
Active	Kay, Brandon Ames	998254	Independent Adjuster - Property & Casualty	6/14/2023
Active	Romberg, Per Henrik Johan	654268	Agent - Casualty	12/29/2010
Active	Romberg, Per Henrik Johan	654268	Agent - Health	12/29/2010
Active	Romberg, Per Henrik Johan	654268	Agent - Life	3/13/2013
Active	Romberg, Per Henrik Johan	654268	Agent - Property	12/29/2010
Active	Romberg, Per Henrik Johan	654268	Agent - Travel	4/29/2013
Inactive	Shellabear, Frank	346468	Agent - Casualty	2/12/2004	4/30/2013
Inactive	Shellabear, Frank	346468	Agent - Health	3/6/2007	4/30/2013
Inactive	Shellabear, Frank	346468	Agent - Property	2/12/2004	4/30/2013
Inactive	Shellabear, Frank	346468	Managing General Agent - Not Applicable	11/6/2006	4/30/2013