DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Baca, Corey John	DOIID	855880	NAIC NPN	17376506

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	6/26/2015	1/31/2017
Inactive	Non Resident	Agent	Casualty	6/26/2015	1/31/2017
Inactive	Non Resident	Agent	Health	10/9/2014	1/31/2017
* 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	21st Century North America Insurance Company	300884	Agent - Casualty	7/15/2015	7/21/2015
Inactive	21st Century North America Insurance Company	300884	Agent - Property	7/15/2015	7/21/2015
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	7/10/2015	1/31/2017
Inactive	Dairyland Insurance Company	301370	Agent - Property	7/10/2015	1/31/2017
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	7/10/2015	2/1/2016
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	7/10/2015	2/1/2016
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	7/10/2015	2/1/2016
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	7/10/2015	2/1/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/9/2014	12/12/2014
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	10/9/2014	12/12/2014
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	11/4/2015	4/14/2016
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	11/4/2015	4/14/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Clear Link Ins Agency LLC	805173	Agent - Health
Inactive	Clear Link Ins Agency LLC	805173	Agent - Property	7/10/2015	2/17/2016
Inactive	Clear Link Ins Agency LLC	805173	Agent - Casualty	7/10/2015	2/17/2016