DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Pine, Glenn L	DOIID	666086	NAIC NPN	2002288

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	5/11/2010		11/30/2024
Active	Non Resident	Agent	Property	10/12/2007		11/30/2024
Active	Non Resident	Agent	Casualty	10/12/2007		11/30/2024
Active	Non Resident	Surplus Lines Broker	Not Applicable	8/13/2009		11/30/2024
* 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	09/15/2024	11/30/2024
Surplus Lines Broker	09/15/2024	11/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	1/28/2016
Active	American Guarantee and Liability Insurance Company	301216	Agent - Property	1/28/2016
Active	American Zurich Insurance Company	300592	Agent - Casualty	1/28/2016
Active	American Zurich Insurance Company	300592	Agent - Property	1/28/2016
Active	Colonial American Casualty & Surety Company	300769	Agent - Casualty	1/28/2016
Active	Colonial American Casualty & Surety Company	300769	Agent - Property	1/28/2016
Active	Fidelity and Deposit Company of Maryland	300976	Agent - Casualty	1/28/2016
Active	Fidelity and Deposit Company of Maryland	300976	Agent - Property	1/28/2016
Inactive	Great American Insurance Company of New York	301897	Agent - Casualty	6/1/2012	11/20/2014
Inactive	Great American Insurance Company of New York	301897	Agent - Property	6/1/2012	11/20/2014
Active	Starr Indemnity and Liability Company	301685	Agent - Casualty	6/15/2020
Active	Starr Indemnity and Liability Company	301685	Agent - Property	6/15/2020
Active	Zurich American Insurance Company	301121	Agent - Casualty	1/28/2016
Active	Zurich American Insurance Company	301121	Agent - Property	1/28/2016
Active	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	1/28/2016
Active	Zurich American Insurance Company of Illinois	301805	Agent - Property	1/28/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Turner Surety And Ins Brokerage Inc	613391	Agent - Casualty	4/21/2016
Active	Turner Surety And Ins Brokerage Inc	613391	Agent - Property	4/21/2016