DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Professional Program Ins Brokerage	DOIID	854890	NAIC NPN	687185

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	12/1/2016	3/31/2020
Inactive	Non Resident	Agent	Property	12/1/2016	3/31/2020
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	10/3/2014	3/31/2020
* 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	Hartford Accident and Indemnity Company	301917	Agent - Casualty	12/1/2016	4/13/2020
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	12/1/2016	4/13/2020

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Preston, Susan Beth	358545	Agent - Casualty	12/1/2016	3/31/2020
Inactive	Preston, Susan Beth	358545	Agent - Property	12/1/2016	3/31/2020
Inactive	Preston, Susan Beth	358545	Surplus Lines Broker - Not Applicable	10/3/2014	3/31/2020