PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NamePetpremium IncDOIID818198NAIC NPN17028173
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentCasualty8/22/2013 3/31/2027
ActiveNon ResidentAgentProperty8/22/2013 3/31/2027
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAmerican Modern Home Insurance Company300791Agent - Casualty9/15/2021 
ActiveAmerican Modern Home Insurance Company300791Agent - Property9/15/2021 
ActiveAmerican Pet Insurance Company, Inc.301240Agent - Casualty8/26/2022 
ActiveAmerican Pet Insurance Company, Inc.301240Agent - Property8/26/2022 
ActiveIndependence American Insurance Company524747Agent - Casualty6/15/2022 
ActiveIndependence American Insurance Company524747Agent - Property1/22/2021 
ActiveUnited States Fire Insurance Company582240Agent - Casualty11/16/2021 
ActiveUnited States Fire Insurance Company582240Agent - Property11/16/2021 
ActiveXL Specialty Insurance Company301605Agent - Casualty11/16/2021 
ActiveXL Specialty Insurance Company301605Agent - Property11/16/2021 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBoucher, Sandra M 732231Agent - Casualty8/22/20139/10/2014
InactiveBoucher, Sandra M 732231Agent - Property8/22/20139/10/2014
InactiveLevin, Robert D 1077635Agent - Casualty3/19/20209/30/2024
InactiveLevin, Robert D 1077635Agent - Property3/19/20209/30/2024
ActiveNavarro, Edward Gregory 1343778Agent - Casualty7/16/2024 
ActiveNavarro, Edward Gregory 1343778Agent - Property7/16/2024 
InactiveRozenberg, Jeroen George 847614Agent - Casualty9/10/20143/19/2020
InactiveRozenberg, Jeroen George 847614Agent - Property9/10/20143/19/2020

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