DEPARTMENT OF INSURANCE

Affiliations

Name	AIG Travel Assist	DOIID	685213	NAIC NPN	11035867

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Administrator	Not Applicable	6/15/2009	7/28/2010
Inactive	Non Resident	Agent	Life	8/8/2008	6/4/2024
Inactive	Non Resident	Agent	Travel	11/3/2011	6/4/2024
Inactive	Non Resident	Agent	Property	8/8/2008	6/4/2024
Inactive	Non Resident	Agent	Casualty	8/8/2008	6/4/2024
Inactive	Non Resident	Agent	Health	8/8/2008	6/4/2024
Inactive	Non Resident	Independent Adjuster	Property & Casualty	4/1/2009	3/31/2014
* 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	21st Century North America Insurance Company	300884	Agent - Casualty	2/9/2009	5/15/2018
Inactive	21st Century North America Insurance Company	300884	Agent - Property	2/9/2009	5/15/2018
Inactive	AIG Property Casualty Company	300621	Agent - Casualty	12/6/2013	6/4/2024
Inactive	AIG Property Casualty Company	300621	Agent - Property	12/6/2013	6/4/2024
Inactive	American Pet Insurance Company, Inc.	301240	Agent - Casualty	3/3/2017	10/28/2021
Inactive	American Pet Insurance Company, Inc.	301240	Agent - Property	3/3/2017	10/28/2021
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	3/1/2011	1/25/2019
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	3/1/2011	1/25/2019
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	3/1/2011	3/4/2014
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	3/1/2011	3/4/2014
Inactive	HCC Life Insurance Company	301827	Agent - Health	1/15/2017	6/12/2017
Inactive	Homesite Insurance Company	301139	Agent - Casualty	2/16/2009	6/4/2024
Inactive	Homesite Insurance Company	301139	Agent - Property	2/16/2009	6/4/2024
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	9/19/2013	6/4/2024
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	9/19/2013	6/4/2024
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	9/19/2013	6/4/2024
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Travel	4/24/2012	6/4/2024
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Casualty	1/15/2009	5/4/2010
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Property	1/15/2009	5/4/2010

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Abrams-Craven, Annette	684780	Independent Adjuster - Property & Casualty	8/7/2008	1/22/2009
Inactive	Cho, Lucy Sung Eun	628318	Agent - Casualty	6/18/2019	10/29/2020
Denied	Cho, Lucy Sung Eun	628318	Agent - Health
Denied	Cho, Lucy Sung Eun	628318	Agent - Life
Inactive	Cho, Lucy Sung Eun	628318	Agent - Property	6/18/2019	10/29/2020
Inactive	Cho, Lucy Sung Eun	628318	Agent - Travel	6/18/2019	10/29/2020
Inactive	Grant, Brad Calvin	656373	Agent - Casualty	6/18/2019	10/11/2021
Inactive	Grant, Brad Calvin	656373	Agent - Health	6/18/2019	10/11/2021
Denied	Grant, Brad Calvin	656373	Agent - Life
Inactive	Grant, Brad Calvin	656373	Agent - Property	6/18/2019	10/11/2021
Inactive	Grant, Brad Calvin	656373	Agent - Travel	6/18/2019	10/11/2021
Inactive	Koziol, James Lawrence	1042879	Agent - Casualty	10/5/2020	11/6/2020
Inactive	Koziol, James Lawrence	1042879	Agent - Health	10/5/2020	11/6/2020
Denied	Koziol, James Lawrence	1042879	Agent - Life
Inactive	Koziol, James Lawrence	1042879	Agent - Travel	10/5/2020	11/6/2020
Inactive	Liu, Jenny Shang Chuan	638129	Agent - Casualty	6/18/2019	2/8/2022
Inactive	Liu, Jenny Shang Chuan	638129	Agent - Property	6/18/2019	2/8/2022
Inactive	Liu, Jenny Shang Chuan	638129	Agent - Travel	6/18/2019	2/8/2022
Inactive	Lloyd -Davies, Corrinne	604395	Agent - Casualty	8/8/2008	6/4/2024
Inactive	Lloyd -Davies, Corrinne	604395	Agent - Health	8/8/2008	6/4/2024
Inactive	Lloyd -Davies, Corrinne	604395	Agent - Life	8/8/2008	6/4/2024
Inactive	Lloyd -Davies, Corrinne	604395	Agent - Property	8/8/2008	6/4/2024
Inactive	Lloyd -Davies, Corrinne	604395	Agent - Travel	11/3/2011	6/4/2024
Inactive	Mathews, Anka Vidori	684835	Administrator - Not Applicable	6/15/2009	6/25/2012
Inactive	Mathews, Anka Vidori	684835	Independent Adjuster - Property & Casualty	4/1/2009	3/31/2014
Inactive	Nelson, Yoko Taniguchi	822274	Agent - Casualty	6/18/2019	11/10/2020
Inactive	Nelson, Yoko Taniguchi	822274	Agent - Property	6/18/2019	11/10/2020
Inactive	Terry, Yoko Kawaguchi	831216	Agent - Casualty	6/18/2019	11/10/2020
Inactive	Terry, Yoko Kawaguchi	831216	Agent - Property	6/18/2019	11/10/2020
Inactive	Wu, Qinlin Alice	881899	Agent - Casualty	6/18/2019	10/29/2020
Inactive	Wu, Qinlin Alice	881899	Agent - Health	6/18/2019	10/29/2020
Denied	Wu, Qinlin Alice	881899	Agent - Life
Inactive	Wu, Qinlin Alice	881899	Agent - Property	6/18/2019	10/29/2020