DEPARTMENT OF INSURANCE

Affiliations

Name	Mollozzi, Benjamin Vogt	DOIID	730661	NAIC NPN	15814876

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Casualty	7/9/2010	11/1/2012
Inactive	Resident	Agent	Property	7/9/2010	11/1/2012
* 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	Consolidated Insurance Company	300943	Agent - Casualty	10/7/2010	10/20/2011
Inactive	Consolidated Insurance Company	300943	Agent - Property	10/7/2010	10/20/2011
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	9/22/2010	11/1/2012
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	9/22/2010	11/1/2012
Inactive	First National Insurance Company of America	301690	Agent - Casualty	10/7/2010	11/1/2012
Inactive	First National Insurance Company of America	301690	Agent - Property	10/7/2010	11/1/2012
Inactive	General Insurance Company of America	300261	Agent - Casualty	10/7/2010	11/1/2012
Inactive	General Insurance Company of America	300261	Agent - Property	10/7/2010	11/1/2012
Inactive	Indiana Insurance Company	301909	Agent - Casualty	10/7/2010	11/1/2012
Inactive	Indiana Insurance Company	301909	Agent - Property	10/7/2010	11/1/2012
Inactive	MICO Insurance Company	301664	Agent - Casualty	8/23/2010	10/31/2011
Inactive	MICO Insurance Company	301664	Agent - Property	8/23/2010	10/31/2011
Inactive	Motorists Mutual Insurance Company	300963	Agent - Casualty	8/23/2010	10/31/2011
Inactive	Motorists Mutual Insurance Company	300963	Agent - Property	8/23/2010	10/31/2011
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	10/7/2010	10/20/2011
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	10/7/2010	10/20/2011
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	10/7/2010	10/20/2011
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	10/7/2010	10/20/2011
Inactive	Peerless Insurance Company	301910	Agent - Casualty	10/7/2010	11/1/2012
Inactive	Peerless Insurance Company	301910	Agent - Property	10/7/2010	11/1/2012
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	10/7/2010	11/1/2012
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	10/7/2010	11/1/2012
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	10/7/2010	11/1/2012
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	10/7/2010	11/1/2012
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	8/16/2010	10/11/2012
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	8/16/2010	10/11/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	HPW Insurance Agency, LLC	597705	Agent - Casualty	10/12/2010	11/1/2012
Inactive	HPW Insurance Agency, LLC	597705	Agent - Property	10/12/2010	11/1/2012
Inactive	Keystone-Sills Insurance Agency Inc.	399782	Agent - Casualty	9/8/2010	10/19/2011
Inactive	Keystone-Sills Insurance Agency Inc.	399782	Agent - Property	9/8/2010	10/19/2011
Inactive	Universal Underwriters Insurance Agency, Inc	400327	Agent - Casualty	9/8/2010	10/19/2011
Inactive	Universal Underwriters Insurance Agency, Inc	400327	Agent - Property	9/8/2010	10/19/2011