DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bender, Gregory Alan	DOIID	735568	NAIC NPN	12285289

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	8/26/2010	6/11/2015
Inactive	Non Resident	Agent	Casualty	8/26/2010	6/11/2015
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	8/26/2010	6/11/2015
* 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	Praetorian Insurance Company	301021	Agent - Casualty	9/12/2013	6/5/2015
Inactive	Praetorian Insurance Company	301021	Agent - Property	9/12/2013	6/5/2015
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	9/12/2013	6/5/2015
Inactive	QBE Insurance Corporation	300515	Agent - Property	9/12/2013	6/5/2015
Inactive	Tesla Insurance Company	300337	Agent - Casualty	8/30/2010	11/27/2012
Inactive	Tesla Insurance Company	300337	Agent - Property	8/30/2010	11/27/2012
Inactive	Tesla Property & Casualty, Inc.	301611	Agent - Casualty	8/30/2010	11/14/2011
Inactive	Tesla Property & Casualty, Inc.	301611	Agent - Property	8/30/2010	11/14/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Balboa Insurance Services Inc.	516610	Agent - Casualty	9/2/2010	4/27/2011
Inactive	Balboa Insurance Services Inc.	516610	Agent - Property	9/2/2010	4/27/2011
Inactive	Balboa Insurance Services Inc.	516610	Surplus Lines Broker - Not Applicable	9/2/2010	6/11/2015
Inactive	NGLS Insurance Services , Inc	399928	Agent - Casualty	4/2/2014	6/5/2015
Inactive	NGLS Insurance Services , Inc	399928	Agent - Property	4/2/2014	6/5/2015
Inactive	NGLS Insurance Services , Inc	399928	Surplus Lines Broker - Not Applicable	4/2/2014	6/10/2015