DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Guzman, Nelson Daniel	DOIID	754258	NAIC NPN	1114553

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	5/12/2011		9/30/2025
Active	Non Resident	Agent	Casualty	5/12/2011		9/30/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	10/28/2011		9/30/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	07/15/2025	09/30/2025
Surplus Lines Broker	07/15/2025	09/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Allegheny Casualty Company	545740	Agent - Casualty	4/24/2014	12/22/2020
Inactive	Capson Physicians Insurance Company	301959	Agent - Casualty	5/16/2011	9/11/2015
Active	Doctors Company, an Interinsurance Exchange (The)	301946	Agent - Casualty	5/31/2011
Active	Doctors Company, an Interinsurance Exchange (The)	301946	Agent - Property	5/31/2011
Inactive	Medicus Insurance Company	750731	Agent - Casualty	11/9/2011	1/1/2018
Inactive	NORCAL Insurance Company	301971	Agent - Casualty	1/11/2017	8/30/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	CBIZ Ins Services Inc	515291	Agent - Property	10/8/2012
Active	CBIZ Ins Services Inc	515291	Agent - Casualty	10/8/2012
Active	CBIZ Ins Services Inc	515291	Surplus Lines Broker - Not Applicable	10/8/2012
Inactive	Trinity Risk Advisors Inc	755408	Agent - Property	6/10/2011	3/31/2013
Inactive	Trinity Risk Advisors Inc	755408	Agent - Casualty	6/10/2011	3/31/2013