DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Negron, William	DOIID	590789	NAIC NPN	6358698

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	6/9/2004	10/31/2013
Inactive	Non Resident	Agent	Property	6/9/2004	10/31/2013
* 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	American Modern Select Insurance Company	581481	Agent - Casualty	6/24/2010	3/22/2013
Inactive	American Modern Select Insurance Company	581481	Agent - Property	6/24/2010	3/22/2013
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	6/24/2010	3/22/2013
Inactive	American Southern Home Insurance Company	626276	Agent - Property	6/24/2010	3/22/2013
Inactive	Homesite Insurance Company	301139	Agent - Casualty	7/23/2004	1/2/2013
Inactive	Homesite Insurance Company	301139	Agent - Property	7/23/2004	1/2/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Homesite Ins Agency Inc	547560	Agent - Casualty	1/3/2011	3/22/2013
Inactive	Homesite Ins Agency Inc	547560	Agent - Property	1/3/2011	3/22/2013