PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameCatlin Insurance Services, Inc.DOIID662152NAIC NPN4767693
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentCasualty6/24/20099/29/2020 
InactiveNon ResidentAgentProperty6/24/20099/29/2020 
InactiveNon ResidentSurplus Lines BrokerNot Applicable8/11/20099/29/2020 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAXA XL Insurance Company Americas300979Agent - Casualty6/24/20099/29/2020
InactiveAXA XL Insurance Company Americas300979Agent - Property6/24/20099/29/2020
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBelzer, Donn William 611008Agent - Casualty8/13/20109/23/2016
InactiveBelzer, Donn William 611008Agent - Property8/13/20109/23/2016
InactiveBelzer, Donn William 611008Surplus Lines Broker - Not Applicable6/23/20102/9/2017
InactiveChauvin, William Pierre 707831Agent - Casualty9/23/20169/29/2020
InactiveChauvin, William Pierre 707831Agent - Property9/23/20169/29/2020
InactiveChauvin, William Pierre 707831Surplus Lines Broker - Not Applicable9/23/20169/29/2020
InactiveGott, Sheila Dean 329861Agent - Casualty6/24/20099/29/2020
InactiveGott, Sheila Dean 329861Agent - Property6/24/20099/29/2020
InactiveMcDougall, Scott 684065Surplus Lines Broker - Not Applicable6/23/201011/18/2014

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