DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Depenning, Lori E	DOIID	632824	NAIC NPN	8401809

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	5/26/2006	2/28/2019
Inactive	Non Resident	Agent	Property	5/26/2006	2/28/2019
* 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	AGCS Marine Insurance Company	300403	Agent - Casualty	7/11/2006	2/3/2014
Inactive	AGCS Marine Insurance Company	300403	Agent - Property	7/11/2006	2/3/2014
Inactive	Chicago Insurance Company	300295	Agent - Casualty	7/11/2006	2/28/2019
Inactive	Chicago Insurance Company	300295	Agent - Property	7/11/2006	2/28/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mercer Health & Benefits Administration Llc	656414	Agent - Property	1/9/2014	2/28/2019
Inactive	Mercer Health & Benefits Administration Llc	656414	Agent - Casualty	1/9/2014	2/28/2019
Inactive	Seabury & Smith Inc	394854	Agent - Property	7/11/2006	4/8/2014
Inactive	Seabury & Smith Inc	394854	Agent - Casualty	7/11/2006	4/8/2014