DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Ghysels, J	DOIID	580556	NAIC NPN	5733203

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	8/10/2005		4/30/2025
Active	Non Resident	Agent	Property	8/10/2005		4/30/2025
* 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	02/15/2025	04/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	2/19/2008	11/5/2008
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	2/19/2008	11/5/2008
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	2/19/2008	11/5/2008
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	2/19/2008	11/5/2008
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	2/19/2008	11/4/2009
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	2/19/2008	11/4/2009
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	2/19/2008	11/5/2008
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	2/19/2008	11/5/2008
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	2/19/2008	11/5/2008
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	2/19/2008	11/5/2008
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	2/19/2008	11/5/2008
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	2/19/2008	11/5/2008
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	2/19/2008	11/5/2008
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	2/19/2008	11/5/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	USI Insurance Services National, Inc	509421	Agent - Casualty	2/29/2008	11/4/2009
Inactive	USI Insurance Services National, Inc	509421	Agent - Property	2/29/2008	11/4/2009
Denied	Usi Insurance Services LLC	669260	Agent - Casualty
Denied	Usi Insurance Services LLC	669260	Agent - Property