DEPARTMENT OF INSURANCE

Affiliations

Name	Borden-Perlman Ins Agency Inc	DOIID	618992	NAIC NPN	1985195

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	6/17/2015	2/2/2021
Inactive	Non Resident	Agent	Casualty	6/17/2015	2/2/2021
Inactive	Non Resident	Agent	Property	2/21/2006	2/2/2021
Inactive	Non Resident	Agent	Personal Lines	6/17/2015	2/2/2021
Inactive	Non Resident	Agent	Health	2/21/2006	2/2/2021
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	3/21/2016	2/2/2021
* 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	4 Ever Life Insurance Company	301307	Agent - Health	11/3/2017	2/2/2021
Inactive	AIG Property Casualty Company	300621	Agent - Casualty	2/9/2017	2/2/2021
Inactive	AIG Property Casualty Company	300621	Agent - Property	9/2/2010	2/2/2021
Inactive	Aegis Security Insurance Company	300492	Agent - Health	5/11/2016	2/2/2021
Inactive	Arch Insurance Company	300688	Agent - Casualty	5/11/2017	2/2/2021
Inactive	Arch Insurance Company	300688	Agent - Health	10/12/2011	2/2/2021
Inactive	Arch Insurance Company	300688	Agent - Property	4/11/2013	2/2/2021
Inactive	Crestbrook Insurance Company	805354	Agent - Casualty	3/6/2017	2/2/2021
Inactive	Crestbrook Insurance Company	805354	Agent - Property	3/6/2017	2/2/2021
Inactive	Federal Insurance Company	301144	Agent - Health	8/5/2014	2/2/2021
Inactive	Golden Rule Insurance Company	301943	Agent - Health	6/10/2015	3/13/2017
Inactive	Great American Alliance Insurance Company	301247	Agent - Property	12/5/2012	8/5/2020
Inactive	Great American Assurance Company	300327	Agent - Property	12/5/2012	8/5/2020
Inactive	Great American Insurance Company	301586	Agent - Property	12/5/2012	2/2/2021
Inactive	Great American Insurance Company of New York	301897	Agent - Property	12/5/2012	8/5/2020
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	12/4/2014	2/2/2021
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	10/13/2020	2/2/2021
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	10/13/2020	2/2/2021
Inactive	Hartford Fire Insurance Company	300628	Agent - Health	2/27/2019	2/2/2021
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	3/13/2019	2/2/2021
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	3/13/2019	2/2/2021
Inactive	Liberty Insurance Underwriters Inc.	301391	Agent - Casualty	7/6/2015	2/2/2021
Inactive	Liberty Insurance Underwriters Inc.	301391	Agent - Property	7/6/2015	2/2/2021
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	7/6/2015	2/2/2021
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	7/6/2015	2/2/2021
Inactive	Mount Vernon Fire Insurance Company	301397	Agent - Casualty	7/24/2015	2/2/2021
Inactive	Mount Vernon Fire Insurance Company	301397	Agent - Property	7/24/2015	2/2/2021
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	10/10/2012	2/2/2021
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	5/29/2014	2/2/2021
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	3/6/2017	2/2/2021
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	3/6/2017	2/2/2021
Inactive	Pan-American Life Insurance Company	301530	Agent - Health	10/9/2020	2/2/2021
Inactive	Pan-American Life Insurance Company	301530	Agent - Life	10/9/2020	2/2/2021
Inactive	Privilege Underwriters Reciprocal Exchange	769657	Agent - Personal Lines	9/9/2018	2/2/2021
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Casualty	6/16/2016	2/2/2021
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Property	6/16/2016	2/2/2021
Inactive	Starr Indemnity and Liability Company	301685	Agent - Casualty	1/13/2016	2/2/2021
Inactive	Starr Indemnity and Liability Company	301685	Agent - Health	1/13/2016	2/2/2021
Inactive	Starr Indemnity and Liability Company	301685	Agent - Property	1/13/2016	2/2/2021
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	6/10/2015	11/4/2016

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Borden, Douglas C	363204	Agent - Casualty	6/17/2015	2/2/2021
Inactive	Borden, Douglas C	363204	Agent - Life	6/17/2015	2/2/2021
Inactive	Borden, Douglas C	363204	Agent - Personal Lines	6/17/2015	2/2/2021
Inactive	Borden, Douglas C	363204	Agent - Property	2/21/2006	2/2/2021
Inactive	Myers, Kelly Lee	573134	Agent - Health	2/21/2006	2/2/2021
Inactive	Perlman, Jeffrey F	906282	Surplus Lines Broker - Not Applicable	3/21/2016	2/2/2021