DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Shichtman, Mark H	DOIID	649222	NAIC NPN	4514288

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	1/12/2010		9/30/2026
Active	Non Resident	Agent	Personal Lines	1/12/2010		9/30/2026
Active	Non Resident	Agent	Casualty	1/12/2010		9/30/2026
* 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	07/15/2024	09/30/2024	07/05/2024	07/05/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	10/5/2018	11/6/2023
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Property	10/5/2018	11/6/2023
Inactive	American Zurich Insurance Company	300592	Agent - Casualty	10/5/2018	11/6/2023
Inactive	American Zurich Insurance Company	300592	Agent - Property	10/5/2018	11/6/2023
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Casualty	10/5/2018	11/6/2023
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Property	10/5/2018	11/6/2023
Inactive	North Pointe Insurance Company	301029	Agent - Casualty	4/30/2013	12/5/2017
Inactive	North Pointe Insurance Company	301029	Agent - Property	4/30/2013	12/5/2017
Inactive	Praetorian Insurance Company	301021	Agent - Casualty	4/30/2013	12/5/2017
Inactive	Praetorian Insurance Company	301021	Agent - Property	4/30/2013	12/5/2017
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	4/30/2013	12/5/2017
Inactive	QBE Insurance Corporation	300515	Agent - Property	4/30/2013	12/5/2017
Inactive	Zurich American Insurance Company	301121	Agent - Casualty	10/5/2018	11/6/2023
Inactive	Zurich American Insurance Company	301121	Agent - Property	10/5/2018	11/6/2023
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	10/5/2018	11/6/2023
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Property	10/5/2018	11/6/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Alliant Insurance Services, Inc.	551378	Agent - Property	12/20/2018	11/6/2023
Inactive	Alliant Insurance Services, Inc.	551378	Agent - Casualty	12/20/2018	11/6/2023
Inactive	Frank Crystal & Co Inc	505426	Agent - Property	8/25/2014	12/5/2017
Inactive	Frank Crystal & Co Inc	505426	Agent - Casualty	8/25/2014	12/5/2017
Denied	Loomis Company [The]	401159	Agent - Property
Denied	Loomis Company [The]	401159	Agent - Casualty