DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Human Services Benefits Co	DOIID	609938	NAIC NPN	6833254

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	12/13/2011	3/31/2015
Inactive	Non Resident	Agent	Casualty	12/13/2011	3/31/2015
* 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	Manufacturers Alliance Insurance Company	519940	Agent - Casualty	12/21/2011	3/31/2015
Inactive	Manufacturers Alliance Insurance Company	519940	Agent - Property	12/21/2011	3/31/2015
Inactive	Pennsylvania Manufacturers Association Insurance Company	300228	Agent - Casualty	12/21/2011	3/31/2015
Inactive	Pennsylvania Manufacturers Association Insurance Company	300228	Agent - Property	12/21/2011	3/31/2015
Inactive	Pennsylvania Manufacturers Indemnity Company	519939	Agent - Casualty	12/21/2011	3/31/2015
Inactive	Pennsylvania Manufacturers Indemnity Company	519939	Agent - Property	12/21/2011	3/31/2015

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bonomo, Thomas	843570	Agent - Casualty	8/29/2014	3/31/2015
Inactive	Bonomo, Thomas	843570	Agent - Property	8/29/2014	3/31/2015
Inactive	White, Robert A	563474	Agent - Casualty	12/13/2011	8/28/2014
Inactive	White, Robert A	563474	Agent - Property	12/13/2011	8/28/2014