DEPARTMENT OF INSURANCE

Affiliations

Name	Rivera, Jose M	DOIID	591543	NAIC NPN	3204481

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	6/24/2004	5/5/2017
Inactive	Non Resident	Agent	Property	6/24/2004	5/5/2017
Inactive	Non Resident	Agent	Health	10/17/2006	5/5/2017
Inactive	Non Resident	Agent	Life	10/17/2006	5/5/2017
* 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 Guarantee and Liability Insurance Company	301216	Agent - Casualty	9/10/2004	4/27/2017
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Property	9/10/2004	4/27/2017
Inactive	American Zurich Insurance Company	300592	Agent - Casualty	9/10/2004	4/27/2017
Inactive	American Zurich Insurance Company	300592	Agent - Property	9/10/2004	4/27/2017
Inactive	Assurance Company of America	300432	Agent - Casualty	9/10/2004	10/29/2014
Inactive	Assurance Company of America	300432	Agent - Property	9/10/2004	10/29/2014
Inactive	Blackboard Insurance Company	301640	Agent - Casualty	9/10/2004	11/30/2007
Inactive	Blackboard Insurance Company	301640	Agent - Property	9/10/2004	11/30/2007
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	11/14/2012	5/5/2017
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/14/2012	5/5/2017
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	11/14/2012	5/5/2017
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	11/14/2012	5/5/2017
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	11/14/2012	5/5/2017
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	11/14/2012	5/5/2017
Inactive	Maryland Casualty Company	301719	Agent - Casualty	9/10/2004	10/29/2014
Inactive	Maryland Casualty Company	301719	Agent - Property	9/10/2004	10/29/2014
Inactive	New York Life Insurance Company	300431	Agent - Health	11/13/2006	3/2/2017
Inactive	New York Life Insurance Company	300431	Agent - Life	11/13/2006	3/2/2017
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	9/10/2004	10/29/2014
Inactive	Northern Insurance Company of New York	301317	Agent - Property	9/10/2004	10/29/2014
Inactive	Zurich American Insurance Company	301121	Agent - Casualty	9/10/2004	4/27/2017
Inactive	Zurich American Insurance Company	301121	Agent - Property	9/10/2004	4/27/2017
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	9/10/2004	4/27/2017
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Property	9/10/2004	4/27/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bertholon-Rowland Corp	394872	Agent - Casualty	6/17/2005	3/31/2009
Inactive	Bertholon-Rowland Corp	394872	Agent - Property	6/17/2005	3/31/2009
Inactive	Bertholon-Rowland Corp	394872	Agent - Health	1/29/2007	3/31/2009
Inactive	Bertholon-Rowland Corp	394872	Agent - Life	1/29/2007	3/31/2009
Inactive	Usi Insurance Services LLC	669260	Agent - Casualty	7/23/2008	1/17/2017
Inactive	Usi Insurance Services LLC	669260	Agent - Property	7/23/2008	1/17/2017
Inactive	Usi Insurance Services LLC	669260	Agent - Health	7/23/2008	1/17/2017
Inactive	Usi Insurance Services LLC	669260	Agent - Life	7/23/2008	1/17/2017