DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Szulczewski, Anthony Roman	DOIID	826342	NAIC NPN	2188483

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	10/31/2013	5/31/2020
Inactive	Non Resident	Agent	Property	10/31/2013	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	Privilege Underwriters Reciprocal Exchange	769657	Agent - Casualty	3/23/2016	5/31/2020
Inactive	Privilege Underwriters Reciprocal Exchange	769657	Agent - Property	3/23/2016	5/31/2020
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	5/9/2017	5/31/2020
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	5/9/2017	5/31/2020
Inactive	Westfield Insurance Company	301950	Agent - Casualty	1/8/2016	1/31/2020
Inactive	Westfield Insurance Company	301950	Agent - Property	1/8/2016	1/31/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assurance Agency LTD	552246	Agent - Property	8/13/2018	5/31/2020
Inactive	Assurance Agency LTD	552246	Agent - Casualty	8/13/2018	5/31/2020