DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Geisen, Analicia	DOIID	769347	NAIC NPN	6742164

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	4/1/2022		7/31/2025
Active	Non Resident	Agent	Property	11/21/2011		7/31/2025
Active	Non Resident	Agent	Life	4/1/2022		7/31/2025
Active	Non Resident	Agent	Casualty	11/21/2011		7/31/2025
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	7/13/2022	10/14/2024
* 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	American Modern Home Insurance Company	300791	Agent - Casualty	6/9/2014	10/23/2015
Inactive	American Modern Home Insurance Company	300791	Agent - Property	6/9/2014	10/23/2015
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	2/19/2014	7/3/2014
Inactive	QBE Insurance Corporation	300515	Agent - Property	2/19/2014	7/3/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	PNC Insurance Agency, Inc.	595561	Agent - Casualty	7/29/2014	10/26/2021
Inactive	PNC Insurance Agency, Inc.	595561	Agent - Property	7/29/2014	10/26/2021
Denied	PNC Insurance Services LLC	400874	Agent - Casualty
Denied	PNC Insurance Services LLC	400874	Agent - Property