DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Pellegrini, Michael	DOIID	768068	NAIC NPN	7496117

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	11/3/2011		8/31/2024
Active	Non Resident	Agent	Casualty	11/3/2011		8/31/2024
Active	Non Resident	Surplus Lines Broker	Not Applicable	3/20/2014		8/31/2024
* 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	06/15/2024	08/31/2024
Surplus Lines Broker	06/15/2024	08/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Zurich Insurance Company	300592	Agent - Casualty	2/22/2012	12/3/2015
Inactive	American Zurich Insurance Company	300592	Agent - Property	2/22/2012	12/3/2015
Active	Zurich American Insurance Company	301121	Agent - Casualty	4/11/2016
Active	Zurich American Insurance Company	301121	Agent - Property	4/11/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Marsh USA LLC.	514638	Agent - Property	3/13/2012	12/3/2015
Inactive	Marsh USA LLC.	514638	Agent - Casualty	3/13/2012	12/3/2015