DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Pitic, Asim	DOIID	828002	NAIC NPN	8430376

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	11/20/2013		7/31/2026
Active	Non Resident	Agent	Life	11/20/2013		7/31/2026
Active	Non Resident	Agent	Property	11/20/2013		7/31/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	9/29/2016		7/31/2026
* 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	05/15/2024	07/31/2024	06/03/2024	06/03/2024	Yes
Surplus Lines Broker	05/15/2024	07/31/2024	06/03/2024	06/03/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	4/5/2023
Active	ACUITY, A Mutual Insurance Company	300095	Agent - Property	4/5/2023
Active	Great West Casualty Company	301015	Agent - Casualty	2/17/2016
Active	Great West Casualty Company	301015	Agent - Property	2/17/2016
Inactive	Protective Insurance Company	301117	Agent - Casualty	11/10/2015	10/26/2018
Inactive	Protective Insurance Company	301117	Agent - Property	11/10/2015	10/26/2018
Inactive	Sagamore Insurance Company	300942	Agent - Casualty	8/11/2017	10/26/2018
Inactive	Sagamore Insurance Company	300942	Agent - Property	8/11/2017	10/26/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Acrisure LLC	696181	Agent - Casualty
Denied	Acrisure LLC	696181	Agent - Life
Denied	Acrisure LLC	696181	Agent - Property