DEPARTMENT OF INSURANCE
Affiliations
NameBlack, Trenton JDOIID750733NAIC NPN16178460
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentCasualty3/25/2011 9/30/2026
ActiveNon ResidentAgentProperty3/25/2011 9/30/2026
ActiveNon ResidentIndependent AdjusterProperty & Casualty8/1/2011 9/30/2026
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAllianz Global Risks US Insurance Company301250Agent - Casualty7/30/2023 
ActiveAllianz Global Risks US Insurance Company301250Agent - Property7/30/2023 
ActiveContinental Casualty Company301019Agent - Casualty7/6/2017 
ActiveContinental Casualty Company301019Agent - Property7/6/2017 
ActiveLiberty Insurance Underwriters Inc.301391Agent - Casualty7/25/2012 
ActiveLiberty Insurance Underwriters Inc.301391Agent - Property7/25/2012 
ActiveLiberty Mutual Insurance Company301159Agent - Casualty11/14/2011 
ActiveLiberty Mutual Insurance Company301159Agent - Property11/14/2011 
InactiveOld Republic Insurance Company301225Agent - Property12/12/20187/1/2019
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAsurion Insurance Services Inc509331Agent - Property3/29/2012 
ActiveAsurion Insurance Services Inc509331Agent - Casualty3/29/2012 
ActiveAsurion Insurance Services Inc509331Independent Adjuster - Property & Casualty4/26/2013 
ActiveAsurion Protection Services, LLC.545067Agent - Property5/9/2013 
ActiveAsurion Protection Services, LLC.545067Agent - Casualty5/9/2013 
ActiveAsurion Protection Services, LLC.545067Independent Adjuster - Property & Casualty5/9/2013 

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