DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Lee, David E	DOIID	684823	NAIC NPN	5415537

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	7/14/2008		11/30/2024
Active	Non Resident	Agent	Property	7/14/2008		11/30/2024
Active	Non Resident	Surplus Lines Broker	Not Applicable	10/17/2022		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	AXIS Insurance Company	301290	Agent - Casualty	10/13/2023
Active	AXIS Insurance Company	301290	Agent - Property	10/13/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Affinity Insurance Services, Inc.	396178	Agent - Casualty	4/4/2019	8/17/2023
Inactive	Affinity Insurance Services, Inc.	396178	Agent - Property	4/4/2019	8/17/2023