DEPARTMENT OF INSURANCE

Affiliations

Name	Blackboard Customer Care Insurance Services, LLC	DOIID	842229	NAIC NPN	17094815

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	6/4/2014	8/25/2020
Inactive	Non Resident	Agent	Casualty	6/4/2014	8/25/2020
* 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	ACE American Insurance Company	300625	Agent - Casualty	7/30/2014	4/6/2020
Inactive	ACE American Insurance Company	300625	Agent - Property	7/30/2014	4/6/2020
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	7/30/2014	4/6/2020
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Property	7/30/2014	4/6/2020
Inactive	AmTrust Insurance Company	300179	Agent - Casualty	1/9/2018	8/25/2020
Inactive	AmTrust Insurance Company	300179	Agent - Property	1/9/2018	8/25/2020
Inactive	Argonaut Insurance Company	301422	Agent - Casualty	2/20/2020	8/25/2020
Inactive	Argonaut-Midwest Insurance Company	301308	Agent - Casualty	2/20/2020	8/25/2020
Inactive	Blackboard Insurance Company	301640	Agent - Casualty	2/24/2017	4/30/2019
Inactive	Blackboard Insurance Company	301640	Agent - Property	2/24/2017	4/30/2019
Inactive	Milford Casualty Insurance Company	301460	Agent - Casualty	1/9/2018	8/25/2020
Inactive	Milford Casualty Insurance Company	301460	Agent - Property	1/9/2018	8/25/2020
Inactive	Park National Insurance Company	692514	Agent - Casualty	1/9/2018	8/25/2020
Inactive	Park National Insurance Company	692514	Agent - Property	1/9/2018	8/25/2020
Inactive	Security National Insurance Company	301151	Agent - Casualty	1/9/2018	8/25/2020
Inactive	Security National Insurance Company	301151	Agent - Property	1/9/2018	8/25/2020
Inactive	Technology Insurance Company	613278	Agent - Casualty	1/9/2018	8/25/2020
Inactive	Technology Insurance Company	613278	Agent - Property	1/9/2018	8/25/2020
Inactive	Wesco Insurance Company	300534	Agent - Casualty	1/9/2018	8/25/2020
Inactive	Wesco Insurance Company	300534	Agent - Property	1/9/2018	8/25/2020
Inactive	Westchester Fire Insurance Company	300990	Agent - Casualty	7/30/2014	4/6/2020
Inactive	Westchester Fire Insurance Company	300990	Agent - Property	7/30/2014	4/6/2020

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Gerson, Carl A	540201	Agent - Casualty	6/4/2014	1/12/2017
Inactive	Gerson, Carl A	540201	Agent - Property	6/4/2014	1/12/2017
Inactive	Gordon, Dorothy J	940875	Agent - Casualty	2/2/2017	8/25/2020
Inactive	Gordon, Dorothy J	940875	Agent - Property	2/2/2017	8/25/2020
Inactive	Pulkstenis, Eduard J	909313	Agent - Casualty	2/24/2020	8/25/2020
Inactive	Pulkstenis, Eduard J	909313	Agent - Property	2/24/2020	8/25/2020