DEPARTMENT OF INSURANCE

Affiliations

Name	Berthold, Benjamin L	DOIID	781454	NAIC NPN	12878574

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	5/9/2012	2/28/2025
Active	Non Resident	Agent	Health	5/9/2012	2/28/2025
Active	Non Resident	Agent	Life	5/9/2012	2/28/2025
Active	Non Resident	Agent	Property	5/9/2012	2/28/2025
* 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	12/15/2024	02/28/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Casualty	11/8/2021	3/14/2024
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Property	11/8/2021	3/14/2024
Inactive	Atlantic Specialty Insurance Company	518595	Agent - Casualty	7/18/2016	6/15/2018
Inactive	Atlantic Specialty Insurance Company	518595	Agent - Property	7/18/2016	6/15/2018
Active	Church Mutual Insurance Company, S.I.	301554	Agent - Casualty	5/25/2023
Active	Church Mutual Insurance Company, S.I.	301554	Agent - Property	5/25/2023
Active	Continental Casualty Company	301019	Agent - Casualty	4/5/2021
Active	Continental Casualty Company	301019	Agent - Property	4/5/2021
Inactive	Continental Insurance Company (The)	301242	Agent - Casualty	1/10/2021	3/14/2024
Inactive	Continental Insurance Company (The)	301242	Agent - Property	1/10/2021	3/14/2024
Active	Employers Insurance Company of Wausau	301813	Agent - Casualty	11/5/2013
Active	Employers Insurance Company of Wausau	301813	Agent - Property	11/5/2013
Active	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	11/30/2012
Active	First Liberty Insurance Corporation (The)	301060	Agent - Property	11/30/2012
Active	LM Insurance Corporation	301061	Agent - Casualty	11/30/2012
Active	LM Insurance Corporation	301061	Agent - Property	11/30/2012
Active	Liberty Insurance Corporation	300444	Agent - Casualty	11/30/2012
Active	Liberty Insurance Corporation	300444	Agent - Property	11/30/2012
Active	Liberty Insurance Underwriters Inc.	301391	Agent - Casualty	2/5/2016
Active	Liberty Insurance Underwriters Inc.	301391	Agent - Property	2/5/2016
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	11/30/2012
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Property	11/30/2012
Active	Liberty Mutual Insurance Company	301159	Agent - Casualty	11/30/2012
Active	Liberty Mutual Insurance Company	301159	Agent - Property	11/30/2012
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	5/14/2012
Inactive	Transportation Insurance Company	301575	Agent - Casualty	6/13/2021	3/14/2024
Inactive	Transportation Insurance Company	301575	Agent - Property	6/13/2021	3/14/2024
Inactive	Valley Forge Insurance Company	301052	Agent - Casualty	4/24/2022	3/14/2024
Inactive	Valley Forge Insurance Company	301052	Agent - Property	4/24/2022	3/14/2024
Inactive	Wausau Business Insurance Company	301476	Agent - Casualty	11/5/2013	3/31/2015
Inactive	Wausau Business Insurance Company	301476	Agent - Property	11/5/2013	3/31/2015
Inactive	Wausau Underwriters Insurance Company	301105	Agent - Casualty	11/5/2013	8/31/2015
Inactive	Wausau Underwriters Insurance Company	301105	Agent - Property	11/5/2013	8/31/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Risk Placement Services Inc	509419	Agent - Casualty	10/30/2014
Active	Risk Placement Services Inc	509419	Agent - Property	10/30/2014
Active	Risk Placement Services Inc	509419	Agent - Health	10/30/2014