DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Burchard, Malgorzata Diana	DOIID	626030	NAIC NPN	8186930

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	2/15/2006		12/31/2026
Active	Non Resident	Agent	Casualty	2/15/2006		12/31/2026
* 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
Active	Progressive Direct Insurance Company	301379	Agent - Casualty	3/21/2006
Active	Progressive Direct Insurance Company	301379	Agent - Property	3/21/2006
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	4/13/2007	12/11/2009
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	4/13/2007	12/11/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Progressive Advantage Agency , Inc.	518222	Agent - Casualty	7/31/2007
Active	Progressive Advantage Agency , Inc.	518222	Agent - Property	7/31/2007