DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bascom, Nathan	DOIID	759019	NAIC NPN	16192901

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	7/22/2011	3/31/2014
Inactive	Non Resident	Agent	Property	7/22/2011	3/31/2014
* 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	Travelers Indemnity Company (The)	301855	Agent - Casualty	8/10/2011	3/28/2013
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	8/10/2011	3/28/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	USI Insurance Services National, Inc	509421	Agent - Property	8/10/2011	3/26/2013
Inactive	USI Insurance Services National, Inc	509421	Agent - Casualty	8/10/2011	3/26/2013