DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Inpac Group LLC	DOIID	777415	NAIC NPN	16532153

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	6/20/2012	3/31/2016
Inactive	Non Resident	Agent	Casualty	3/16/2012	3/31/2016
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	3/16/2012	3/31/2016
* 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	Arch Insurance Company	300688	Agent - Casualty	9/20/2014	3/31/2016
Inactive	Arch Insurance Company	300688	Agent - Property	9/20/2014	3/31/2016
Inactive	Middlesex Mutual Assurance Company	569442	Agent - Casualty	7/1/2012	3/31/2016
Inactive	Middlesex Mutual Assurance Company	569442	Agent - Property	7/1/2012	3/31/2016

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Pagoumian, John George	551663	Agent - Casualty	3/16/2012	3/31/2016
Inactive	Pagoumian, John George	551663	Agent - Property	6/20/2012	3/31/2016
Inactive	Pagoumian, John George	551663	Surplus Lines Broker - Not Applicable	3/16/2012	3/31/2016