DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Erickson, Virginia	DOIID	789308	NAIC NPN	6736762

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	8/23/2012	5/31/2016
Inactive	Non Resident	Agent	Property	8/23/2012	5/31/2016
* 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	Merchants Bonding Company (Mutual)	300170	Agent - Casualty	8/28/2012	10/4/2012
Inactive	Merchants National Bonding Inc.	787525	Agent - Casualty	10/3/2012	10/4/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	USI Insurance Services National, Inc	509421	Agent - Property
Inactive	USI Insurance Services National, Inc	509421	Agent - Casualty	8/28/2012	10/4/2012