DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Donnelly, Edward D	DOIID	619560	NAIC NPN	808348

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	11/8/2005	6/30/2012
Inactive	Non Resident	Agent	Casualty	11/8/2005	6/30/2012
* 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	Great American Insurance Company	301586	Agent - Casualty	8/16/2010	6/30/2012
Inactive	Great American Insurance Company	301586	Agent - Property	8/16/2010	6/30/2012
Inactive	State National Insurance Company, Inc.	300888	Agent - Casualty	12/20/2006	2/1/2012
Inactive	State National Insurance Company, Inc.	300888	Agent - Property	12/20/2006	2/1/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Hiscox Inc	622105	Agent - Casualty	1/24/2007	1/24/2012
Inactive	Hiscox Inc	622105	Agent - Property	1/24/2007	1/24/2012
Denied	Hiscox Insurance Services Inc.	719199	Agent - Casualty
Denied	Hiscox Insurance Services Inc.	719199	Agent - Property