DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Pelegouzova, Nadia	DOIID	683828	NAIC NPN	8774105

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	6/27/2008	10/31/2015
Inactive	Non Resident	Agent	Casualty	6/27/2008	10/31/2015
* 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	National Surety Corporation	300087	Agent - Casualty	8/5/2009	10/31/2015
Inactive	National Surety Corporation	300087	Agent - Property	8/5/2009	10/31/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Marsh USA LLC.	514638	Agent - Property	4/8/2011	2/10/2015
Inactive	Marsh USA LLC.	514638	Agent - Casualty	4/8/2011	2/10/2015