DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Romberg, Per Henrik Johan	DOIID	654268	NAIC NPN	9133129

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	4/26/2007		10/31/2024
Active	Non Resident	Agent	Casualty	4/26/2007		10/31/2024
Active	Non Resident	Agent	Travel	3/20/2013		10/31/2024
Active	Non Resident	Agent	Life	3/13/2013		10/31/2024
Active	Non Resident	Agent	Health	4/26/2007		10/31/2024
* 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	08/15/2024	10/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Generali - U.S. Branch	301128	Agent - Casualty	7/3/2013
Active	Generali - U.S. Branch	301128	Agent - Health	7/3/2013
Active	Generali - U.S. Branch	301128	Agent - Property	7/3/2013
Active	Generali - U.S. Branch	301128	Agent - Travel	6/25/2014
Active	North River Insurance Company (The)	301739	Agent - Casualty	5/29/2024
Active	North River Insurance Company (The)	301739	Agent - Health	5/29/2024
Active	North River Insurance Company (The)	301739	Agent - Property	5/29/2024
Active	North River Insurance Company (The)	301739	Agent - Travel	5/29/2024
Inactive	Transamerica Casualty Insurance Company	300311	Agent - Casualty	5/11/2007	3/2/2020
Inactive	Transamerica Casualty Insurance Company	300311	Agent - Property	5/11/2007	3/2/2020
Inactive	Transamerica Casualty Insurance Company	300311	Agent - Travel	4/29/2013	6/2/2020
Active	Transamerica Life Insurance Company	300571	Agent - Health	10/1/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	7/29/2010	10/1/2020
Active	United States Fire Insurance Company	582240	Agent - Casualty	5/29/2024
Active	United States Fire Insurance Company	582240	Agent - Health	5/29/2024
Active	United States Fire Insurance Company	582240	Agent - Property	5/29/2024
Active	United States Fire Insurance Company	582240	Agent - Travel	5/29/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Customized Services Administrators, Incorporated	579292	Agent - Health	12/29/2010
Active	Customized Services Administrators, Incorporated	579292	Agent - Property	12/29/2010
Active	Customized Services Administrators, Incorporated	579292	Agent - Casualty	12/29/2010
Active	Customized Services Administrators, Incorporated	579292	Agent - Life	3/13/2013
Active	Customized Services Administrators, Incorporated	579292	Agent - Travel	4/29/2013