DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Balasa, Richard Dennis	DOIID	688447	NAIC NPN	9216728

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	9/8/2008	6/30/2019
Inactive	Non Resident	Agent	Casualty	9/8/2008	6/30/2019
* 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	Continental Casualty Company	301019	Agent - Casualty	12/29/2008	6/30/2019
Inactive	Continental Casualty Company	301019	Agent - Property	12/29/2008	6/30/2019

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	12/29/2008	4/15/2013
Inactive	Affinity Insurance Services, Inc.	396178	Agent - Property	12/29/2008	4/15/2013
Inactive	Usi Insurance Services LLC	669260	Agent - Casualty	2/15/2013	9/19/2017
Inactive	Usi Insurance Services LLC	669260	Agent - Property	2/15/2013	9/19/2017