DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Cohen, Mitchell A	DOIID	621510	NAIC NPN	8025029

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	12/7/2005		5/31/2026
Active	Non Resident	Agent	Property	12/7/2005		5/31/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	4/14/2021		5/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	03/15/2024	05/31/2024	03/20/2024	03/20/2024	Yes
Surplus Lines Broker	03/15/2024	05/31/2024	03/20/2024	03/20/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	12/14/2015
Active	American Guarantee and Liability Insurance Company	301216	Agent - Property	12/14/2015
Active	American Zurich Insurance Company	300592	Agent - Casualty	12/14/2015
Active	American Zurich Insurance Company	300592	Agent - Property	12/14/2015
Active	Zurich American Insurance Company	301121	Agent - Casualty	12/14/2015
Active	Zurich American Insurance Company	301121	Agent - Property	12/14/2015
Active	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	12/14/2015
Active	Zurich American Insurance Company of Illinois	301805	Agent - Property	12/14/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	RSG Specialty, LLC	726176	Agent - Casualty	10/10/2018
Active	RSG Specialty, LLC	726176	Agent - Property	10/10/2018
Active	RSG Specialty, LLC	726176	Surplus Lines Broker - Not Applicable	6/4/2021