DEPARTMENT OF INSURANCE

Affiliations

Name	Sergi, Daniel A	DOIID	587017	NAIC NPN	2138922

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	3/29/2004	4/30/2018
Inactive	Non Resident	Agent	Health	5/17/2005	4/30/2018
Inactive	Non Resident	Agent	Life	5/17/2005	4/30/2018
Inactive	Non Resident	Agent	Property	3/29/2004	4/30/2018
* 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	ACE American Insurance Company	300625	Agent - Casualty	3/4/2016	2/14/2018
Inactive	ACE American Insurance Company	300625	Agent - Property	3/4/2016	2/14/2018
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Casualty	6/14/2006	1/16/2009
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Property	6/14/2006	1/16/2009
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	3/4/2016	2/14/2018
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Property	3/4/2016	2/14/2018
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	10/14/2004	2/27/2017
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	10/14/2004	2/27/2017
Inactive	Bankers Standard Insurance Company	301620	Agent - Casualty	9/27/2006	1/16/2009
Inactive	Bankers Standard Insurance Company	301620	Agent - Property	9/27/2006	1/16/2009
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	8/25/2006	6/22/2011
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	8/25/2006	6/22/2011
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	1/17/2014	4/30/2018
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	1/17/2014	4/30/2018
Inactive	Employers Insurance Company of Wausau	301813	Agent - Casualty	1/8/2014	4/30/2018
Inactive	Employers Insurance Company of Wausau	301813	Agent - Property	1/8/2014	4/30/2018
Inactive	Everest National Insurance Company	301319	Agent - Casualty	4/12/2004	11/14/2006
Inactive	Everest National Insurance Company	301319	Agent - Property	4/12/2004	11/14/2006
Inactive	Federal Insurance Company	301144	Agent - Casualty	2/3/2014	2/14/2018
Inactive	Federal Insurance Company	301144	Agent - Property	2/3/2014	2/14/2018
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	1/8/2014	4/30/2018
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Property	1/8/2014	4/30/2018
Inactive	Frankenmuth Insurance Company	301481	Agent - Casualty	10/8/2007	9/17/2012
Inactive	Frankenmuth Insurance Company	301481	Agent - Property	10/8/2007	9/17/2012
Inactive	Great Midwest Insurance Company	301418	Agent - Casualty	5/5/2016	4/30/2018
Inactive	Great Midwest Insurance Company	301418	Agent - Property	5/5/2016	4/30/2018
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	7/23/2012	12/17/2014
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	7/23/2012	12/17/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/17/2014	4/30/2018
Inactive	Humana Insurance Company	301104	Agent - Health	1/17/2014	4/30/2018
Inactive	Humana Insurance Company	301104	Agent - Life	1/17/2014	4/30/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/17/2014	4/30/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/17/2014	4/30/2018
Inactive	Imperium Insurance Company	300804	Agent - Casualty	5/5/2016	4/30/2018
Inactive	Imperium Insurance Company	300804	Agent - Property	5/5/2016	4/30/2018
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	3/4/2016	2/14/2018
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	3/4/2016	2/14/2018
Inactive	Kanawha Insurance Company	300127	Agent - Health	1/17/2014	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	1/17/2014	10/22/2015
Inactive	LM Insurance Corporation	301061	Agent - Casualty	1/8/2014	4/30/2018
Inactive	LM Insurance Corporation	301061	Agent - Property	1/8/2014	4/30/2018
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	1/8/2014	4/30/2018
Inactive	Liberty Insurance Corporation	300444	Agent - Property	1/8/2014	4/30/2018
Inactive	Liberty Insurance Underwriters Inc.	301391	Agent - Casualty	6/3/2014	6/15/2017
Inactive	Liberty Insurance Underwriters Inc.	301391	Agent - Health	6/3/2014	6/15/2017
Inactive	Liberty Insurance Underwriters Inc.	301391	Agent - Property	6/3/2014	6/15/2017
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	1/8/2014	4/30/2018
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	1/8/2014	4/30/2018
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	1/8/2014	4/30/2018
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	1/8/2014	4/30/2018
Inactive	Pacific Employers Insurance Company	301753	Agent - Casualty	6/14/2006	1/16/2009
Inactive	Pacific Employers Insurance Company	301753	Agent - Property	6/14/2006	1/16/2009
Inactive	Wausau Underwriters Insurance Company	301105	Agent - Casualty	1/7/2015	8/31/2015
Inactive	Wausau Underwriters Insurance Company	301105	Agent - Property	1/7/2015	8/31/2015
Inactive	Westchester Fire Insurance Company	300990	Agent - Casualty	3/4/2016	2/14/2018
Inactive	Westchester Fire Insurance Company	300990	Agent - Property	3/4/2016	2/14/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acrisure LLC	696181	Agent - Casualty	9/11/2014	4/30/2018
Inactive	Acrisure LLC	696181	Agent - Property	9/11/2014	4/30/2018
Inactive	Acrisure LLC	696181	Agent - Life	9/11/2014	4/30/2018
Inactive	Wine Sergi & Co LLC	533089	Agent - Casualty	1/13/2005	12/9/2011
Inactive	Wine Sergi & Co LLC	765119	Agent - Casualty	9/28/2011	10/3/2014
Inactive	Wine Sergi & Co LLC	533089	Agent - Property	1/13/2005	12/9/2011
Inactive	Wine Sergi & Co LLC	765119	Agent - Property	9/28/2011	10/3/2014
Inactive	Wine Sergi & Co LLC	765119	Agent - Life	9/28/2011	10/3/2014
Denied	Wine Sergi & Co LLC	533089	Agent - Life
Inactive	Wine Sergi & Co LLC	765119	Agent - Health	9/28/2011	10/3/2014
Denied	Wine Sergi & Co LLC	533089	Agent - Health