DEPARTMENT OF INSURANCE

Affiliations

Name	Assurex Agency Inc	DOIID	722458	NAIC NPN	15324277

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	2/6/2010	3/31/2026
Active	Non Resident	Agent	Life	2/1/2023	3/31/2026
Active	Non Resident	Agent	Health	2/1/2023	3/31/2026
Active	Non Resident	Agent	Property	2/6/2010	3/31/2026
* 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
Active	Allianz Global Risks US Insurance Company	301250	Agent - Casualty	9/30/2021
Active	Allianz Global Risks US Insurance Company	301250	Agent - Property	9/30/2021
Active	Fireman's Fund Insurance Company	301423	Agent - Casualty	7/6/2010
Active	Fireman's Fund Insurance Company	301423	Agent - Property	7/6/2010
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	8/26/2014	10/5/2021
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	8/26/2014	10/5/2021
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	6/26/2023
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	6/26/2023
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	3/6/2015	12/9/2022
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	3/6/2015	12/9/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Buicko, Shawn E	774430	Agent - Casualty	10/26/2022
Active	Buicko, Shawn E	774430	Agent - Health	2/1/2023
Active	Buicko, Shawn E	774430	Agent - Life	2/1/2023
Active	Buicko, Shawn E	774430	Agent - Property	10/26/2022
Inactive	Clark, John Harvey	371097	Agent - Health	4/8/2014	8/31/2018
Inactive	Clark, John Harvey	371097	Agent - Life	4/8/2014	8/31/2018
Inactive	Driskell, Daniel P	817731	Agent - Casualty	3/2/2018	2/5/2019
Denied	Driskell, Daniel P	817731	Agent - Health
Denied	Driskell, Daniel P	817731	Agent - Life
Inactive	Driskell, Daniel P	817731	Agent - Property	3/2/2018	2/5/2019
Inactive	Germundson, Steven Eric	771295	Agent - Casualty	3/20/2012	9/8/2014
Inactive	Germundson, Steven Eric	771295	Agent - Property	3/20/2012	9/8/2014
Active	Hildebrandt, Dean Robert	615933	Agent - Casualty	8/15/2019
Active	Hildebrandt, Dean Robert	615933	Agent - Property	8/15/2019
Denied	Mazon, Riccardo L	966310	Agent - Casualty
Inactive	Mazon, Riccardo L	966310	Agent - Health	11/6/2018	12/9/2022
Inactive	Mazon, Riccardo L	966310	Agent - Life	11/6/2018	12/9/2022
Denied	Mazon, Riccardo L	966310	Agent - Property
Inactive	Ruml, Douglas K	719770	Agent - Casualty	2/6/2010	2/2/2012
Inactive	Ruml, Douglas K	719770	Agent - Property	2/6/2010	2/2/2012