DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Schirick, Edward A	DOIID	615857	NAIC NPN	114924

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	9/19/2005	10/31/2018
Inactive	Non Resident	Agent	Health	9/19/2005	10/31/2018
Inactive	Non Resident	Agent	Property	9/19/2005	10/31/2018
* 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	Markel Insurance Company	301475	Agent - Casualty	7/1/2011	6/4/2018
Inactive	Markel Insurance Company	301475	Agent - Health	7/1/2011	6/4/2018
Inactive	Markel Insurance Company	301475	Agent - Property	7/1/2011	6/4/2018
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	9/5/2012	5/15/2017
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	9/5/2012	5/15/2017
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	9/5/2012	5/15/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bollinger Inc.	401156	Agent - Health	7/1/2011	9/22/2016
Inactive	Bollinger Inc.	401156	Agent - Casualty	7/1/2011	9/22/2016
Inactive	Bollinger Inc.	401156	Agent - Property	7/1/2011	9/22/2016
Inactive	Risk Placement Services Inc	509419	Agent - Health	6/23/2016	4/10/2017
Inactive	Risk Placement Services Inc	509419	Agent - Casualty	6/23/2016	4/10/2017
Inactive	Risk Placement Services Inc	509419	Agent - Property	6/23/2016	4/10/2017