DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Siegel, Robert	DOIID	847690	NAIC NPN	8680908

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	8/8/2014	6/30/2023
Inactive	Non Resident	Agent	Property	8/8/2014	6/30/2023
* 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	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	1/24/2020	6/30/2023
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	1/24/2020	6/30/2023
Inactive	Farmington Casualty Company	301137	Agent - Casualty	1/24/2020	6/30/2023
Inactive	Farmington Casualty Company	301137	Agent - Property	1/24/2020	6/30/2023
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	1/24/2020	6/30/2023
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	1/24/2020	6/30/2023
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	12/30/2014	6/30/2023
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	12/30/2014	6/30/2023
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	1/24/2020	6/30/2023
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	1/24/2020	6/30/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Willis Of Illinois Inc	398318	Agent - Property	12/30/2014	1/7/2020
Inactive	Willis Of Illinois Inc	398318	Agent - Casualty	12/30/2014	1/7/2020
Inactive	Willis Towers Watson Midwest, Inc.	534348	Agent - Property	2/1/2020	6/30/2023
Inactive	Willis Towers Watson Midwest, Inc.	534348	Agent - Casualty	2/1/2020	6/30/2023