DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Holicky, Bernard P	DOIID	804476	NAIC NPN	1949143

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	2/26/2013		12/31/2024
Active	Non Resident	Agent	Life	2/26/2013		12/31/2024
Active	Non Resident	Agent	Property	2/26/2013		12/31/2024
Active	Non Resident	Agent	Health	2/26/2013		12/31/2024
* 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	10/15/2024	12/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACE American Insurance Company	300625	Agent - Casualty	3/22/2019
Active	ACE American Insurance Company	300625	Agent - Property	3/22/2019
Inactive	New York Life Insurance Company	300431	Agent - Health	4/18/2019	12/2/2020
Inactive	New York Life Insurance Company	300431	Agent - Life	4/18/2019	12/2/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Affinity Insurance Services, Inc.	396178	Agent - Casualty	4/19/2019	7/21/2020
Inactive	Affinity Insurance Services, Inc.	396178	Agent - Property	4/19/2019	7/21/2020
Inactive	Affinity Insurance Services, Inc.	396178	Agent - Life	4/19/2019	7/21/2020
Inactive	Affinity Insurance Services, Inc.	396178	Agent - Health	4/19/2019	7/21/2020