DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Andersen, John L	DOIID	582657	NAIC NPN	6858965

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	10/26/2009	1/11/2013
Inactive	Non Resident	Agent	Casualty	10/26/2009	1/11/2013
* 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	AMEX Assurance Company	301728	Agent - Casualty	12/14/2009	1/2/2013
Inactive	AMEX Assurance Company	301728	Agent - Property	12/14/2009	1/2/2013
Inactive	National General Insurance Company	300152	Agent - Casualty	2/9/2004	4/28/2008
Inactive	National General Insurance Company	300152	Agent - Property	2/9/2004	4/28/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Financial Insurance Services, Inc.	514710	Agent - Casualty	12/14/2009	1/2/2013
Inactive	Financial Insurance Services, Inc.	514710	Agent - Property	12/14/2009	1/2/2013