DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Belza, Adrianne Jocson	DOIID	742709	NAIC NPN	16013047

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	1/28/2011	11/30/2013
Inactive	Non Resident	Agent	Life	11/18/2010	11/30/2013
Inactive	Non Resident	Agent	Health	11/18/2010	11/30/2013
Inactive	Non Resident	Agent	Casualty	1/28/2011	11/30/2013
* 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	Response Insurance Company	300240	Agent - Casualty	10/20/2011	12/17/2012
Inactive	Response Insurance Company	300240	Agent - Property	10/20/2011	12/17/2012
Inactive	Unitrin Direct Property & Casualty Company	637443	Agent - Casualty	10/20/2011	12/17/2012
Inactive	Unitrin Direct Property & Casualty Company	637443	Agent - Property	10/20/2011	12/17/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Quinstreet Insurance Agency, Inc.	633182	Agent - Life	3/11/2011	2/9/2013
Inactive	Quinstreet Insurance Agency, Inc.	633182	Agent - Health	3/11/2011	2/9/2013
Denied	Quinstreet Insurance Agency, Inc.	633182	Agent - Property
Denied	Quinstreet Insurance Agency, Inc.	633182	Agent - Casualty