DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Trinity Risk Advisors Inc	DOIID	755408	NAIC NPN	15343278

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	6/10/2011	3/31/2013
Inactive	Non Resident	Agent	Casualty	6/10/2011	3/31/2013
* 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	Capson Physicians Insurance Company	301959	Agent - Casualty	1/17/2012	3/31/2013
Inactive	Medicus Insurance Company	750731	Agent - Casualty	11/9/2011	3/31/2013

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Guzman, Nelson Daniel	754258	Agent - Casualty	6/10/2011	3/31/2013
Inactive	Guzman, Nelson Daniel	754258	Agent - Property	6/10/2011	3/31/2013