DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Osyczka, Michael	DOIID	676959	NAIC NPN	10453599

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	3/25/2008	11/14/2019
Inactive	Non Resident	Agent	Property	3/25/2008	11/14/2019
* 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	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	4/10/2008	3/9/2009
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Property	4/10/2008	3/9/2009
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	4/10/2008	3/9/2009
Inactive	Liberty Insurance Corporation	300444	Agent - Property	4/10/2008	3/9/2009
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	4/10/2008	3/9/2009
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	4/10/2008	3/9/2009
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	4/10/2008	3/9/2009
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	4/10/2008	3/9/2009
Inactive	Praetorian Insurance Company	301021	Agent - Casualty	3/14/2012	8/8/2019
Inactive	Praetorian Insurance Company	301021	Agent - Property	3/14/2012	8/8/2019
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	3/14/2012	8/8/2019
Inactive	QBE Insurance Corporation	300515	Agent - Property	3/14/2012	8/8/2019
Inactive	Tesla Insurance Company	300337	Agent - Casualty	12/22/2009	11/27/2012
Inactive	Tesla Insurance Company	300337	Agent - Property	12/22/2009	11/27/2012
Inactive	Tesla Property & Casualty, Inc.	301611	Agent - Casualty	12/22/2009	11/18/2011
Inactive	Tesla Property & Casualty, Inc.	301611	Agent - Property	12/22/2009	11/18/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Balboa Insurance Services Inc.	516610	Agent - Property	3/3/2010	4/27/2011
Inactive	Balboa Insurance Services Inc.	516610	Agent - Casualty	3/3/2010	4/27/2011
Inactive	NGLS Insurance Services , Inc	399928	Agent - Property	6/1/2011	10/8/2015
Inactive	NGLS Insurance Services , Inc	399928	Agent - Casualty	6/1/2011	10/8/2015
Inactive	Westwood Insurance Agency, LLC	534091	Agent - Property	10/9/2015	8/8/2019
Inactive	Westwood Insurance Agency, LLC	534091	Agent - Casualty	10/9/2015	8/8/2019