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DEPARTMENT OF INSURANCE
Affiliations
Name
Dejuilio, Max
DOIID
816635
NAIC NPN
16773361
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Life
8/6/2013
5/31/2020
Inactive
Non Resident
Agent
Property
8/6/2013
5/31/2020
Inactive
Non Resident
Agent
Casualty
8/6/2013
5/31/2020
Inactive
Non Resident
Agent
Health
8/6/2013
5/31/2020
* 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
Lincoln National Life Insurance Company (The)
301382
Agent - Health
8/12/2014
5/31/2020
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Life
8/12/2014
5/31/2020
Inactive
Rural Community Insurance Company
301891
Agent - Casualty
10/17/2014
3/5/2016
Inactive
Rural Community Insurance Company
301891
Agent - Property
9/9/2014
3/5/2016
Inactive
Zurich American Insurance Company
301121
Agent - Casualty
2/11/2016
12/23/2019
Inactive
Zurich American Insurance Company
301121
Agent - Property
2/11/2016
12/23/2019
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
USI Insurance Services National, Inc
509421
Agent - Life
8/21/2014
10/9/2019
Inactive
USI Insurance Services National, Inc
509421
Agent - Casualty
10/17/2014
10/9/2019
Inactive
USI Insurance Services National, Inc
509421
Agent - Health
8/21/2014
10/9/2019
Inactive
USI Insurance Services National, Inc
509421
Agent - Property
9/9/2014
10/9/2019
Inactive
Usi Insurance Services LLC
669260
Agent - Life
1/3/2019
11/25/2019
Inactive
Usi Insurance Services LLC
669260
Agent - Casualty
1/3/2019
11/25/2019
Inactive
Usi Insurance Services LLC
669260
Agent - Health
1/3/2019
11/25/2019
Inactive
Usi Insurance Services LLC
669260
Agent - Property
1/3/2019
11/25/2019
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