DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Zak, Andrew	DOIID	857385	NAIC NPN	17382010

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	7/18/2022		1/31/2026
Active	Non Resident	Agent	Property	7/18/2022		1/31/2026
Inactive	Non Resident	Staff Adjuster	Property & Casualty	10/21/2014	1/31/2024
* 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
Active	Homesite Insurance Company	301139	Agent - Casualty	3/5/2023
Active	Homesite Insurance Company	301139	Agent - Property	3/5/2023
Active	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	3/5/2023
Active	Homesite Insurance Company of the Midwest	874850	Agent - Property	3/5/2023
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	10/4/2022
Active	Ohio Casualty Insurance Company	301492	Agent - Property	10/4/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Fx Insurance Agency, LLC	646184	Agent - Casualty	10/4/2022
Active	Fx Insurance Agency, LLC	646184	Agent - Property	10/4/2022
Active	Kraft Lake Insurance Agency, Inc.	658511	Agent - Casualty	10/4/2022
Active	Kraft Lake Insurance Agency, Inc.	658511	Agent - Property	10/4/2022