DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Dismore, William Elvin	DOIID	608803	NAIC NPN	3247014

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	11/5/2009	10/31/2016
Inactive	Non Resident	Agent	Casualty	11/5/2009	10/31/2016
Inactive	Non Resident	Agent	Life	5/13/2005	10/31/2016
Inactive	Non Resident	Agent	Health	5/13/2005	10/31/2016
Inactive	Non Resident	Agent	Travel	9/13/2013	10/31/2016
* 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	Imperium Insurance Company	300804	Agent - Casualty	5/6/2010	10/31/2016
Inactive	Imperium Insurance Company	300804	Agent - Health	6/22/2005	10/31/2016
Inactive	Imperium Insurance Company	300804	Agent - Property	5/6/2010	10/31/2016
Inactive	SiriusPoint America Insurance Company	301148	Agent - Casualty	2/21/2013	8/6/2015
Inactive	SiriusPoint America Insurance Company	301148	Agent - Health	2/21/2013	8/6/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Itravelinsured, Inc.	608807	Agent - Health	6/22/2005	10/31/2016
Denied	Itravelinsured, Inc.	608807	Agent - Life
Denied	Itravelinsured, Inc.	608807	Agent - Travel