DEPARTMENT OF INSURANCE

Affiliations

Name	WSIB Insurance Agency, LLC	DOIID	636524	NAIC NPN	8753005

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Denied	Non Resident	Agent	Life
Inactive	Non Resident	Agent	Property	7/28/2006	3/31/2024
Inactive	Non Resident	Agent	Casualty	7/28/2006	3/31/2024
Inactive	Non Resident	Agent	Health	11/29/2006	2/5/2014
* 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	AIG Property Casualty Company	300621	Agent - Casualty	12/11/2013	3/31/2024
Inactive	AIG Property Casualty Company	300621	Agent - Property	12/11/2013	3/31/2024
Inactive	American Home Assurance Company	300246	Agent - Casualty	12/11/2013	3/31/2024
Inactive	American Home Assurance Company	300246	Agent - Property	12/11/2013	3/31/2024
Inactive	Executive Risk Indemnity Inc.	301510	Agent - Casualty	3/10/2010	5/6/2024
Inactive	Executive Risk Indemnity Inc.	301510	Agent - Property	3/10/2010	5/6/2024
Inactive	Federal Insurance Company	301144	Agent - Casualty	3/10/2010	5/6/2024
Inactive	Federal Insurance Company	301144	Agent - Health	1/2/2007	2/5/2014
Inactive	Federal Insurance Company	301144	Agent - Property	3/10/2010	5/6/2024
Inactive	Granite State Insurance Company	300818	Agent - Casualty	9/8/2015	3/31/2024
Inactive	Granite State Insurance Company	300818	Agent - Property	9/8/2015	3/31/2024
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	5/19/2009	10/5/2012
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	5/19/2009	10/5/2012
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	5/19/2009	10/5/2012
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	5/19/2009	10/5/2012
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	9/8/2015	3/31/2024
Inactive	Illinois National Insurance Company	301367	Agent - Property	9/8/2015	3/31/2024
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	12/11/2013	3/31/2024
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	12/11/2013	3/31/2024
Inactive	New Hampshire Insurance Company	301670	Agent - Casualty	9/8/2015	3/31/2024
Inactive	New Hampshire Insurance Company	301670	Agent - Property	9/8/2015	3/31/2024
Inactive	New York Marine and General Insurance Company	301932	Agent - Casualty	6/9/2017	6/3/2021
Inactive	New York Marine and General Insurance Company	301932	Agent - Property	6/9/2017	6/3/2021
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	5/19/2009	10/5/2012
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	5/19/2009	10/5/2012
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	5/19/2009	10/5/2012
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	5/19/2009	10/5/2012

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dewitt, Harold Don	516214	Agent - Health	11/29/2006	2/5/2014
Inactive	Gerson, Carl A	540201	Agent - Casualty	7/28/2006	2/5/2014
Denied	Gerson, Carl A	540201	Agent - Health
Denied	Gerson, Carl A	540201	Agent - Life
Inactive	Gerson, Carl A	540201	Agent - Property	7/28/2006	2/5/2014
Inactive	Hatlem, David	343927	Agent - Casualty	2/5/2014	3/31/2024
Denied	Hatlem, David	343927	Agent - Health
Inactive	Hatlem, David	343927	Agent - Property	2/5/2014	3/31/2024
Inactive	Kukral, Kenneth Edward	356700	Agent - Casualty	7/28/2006	2/5/2014
Inactive	Kukral, Kenneth Edward	356700	Agent - Property	7/28/2006	2/5/2014