DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Perez, Melvin	DOIID	862668	NAIC NPN	7994240

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	12/5/2014	12/1/2017
Inactive	Non Resident	Agent	Property	12/5/2014	12/1/2017
* 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	American Fire and Casualty Company	300567	Agent - Casualty	12/15/2014	12/1/2017
Inactive	American Fire and Casualty Company	300567	Agent - Property	12/15/2014	12/1/2017
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	12/15/2014	12/1/2017
Inactive	Consolidated Insurance Company	300943	Agent - Property	12/15/2014	12/1/2017
Inactive	Indiana Insurance Company	301909	Agent - Casualty	12/15/2014	12/1/2017
Inactive	Indiana Insurance Company	301909	Agent - Property	12/15/2014	12/1/2017
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	12/15/2014	12/1/2017
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	12/15/2014	12/1/2017
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	12/15/2014	12/1/2017
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	12/15/2014	12/1/2017
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	12/15/2014	12/1/2017
Inactive	Ohio Security Insurance Company	300622	Agent - Property	12/15/2014	12/1/2017
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	12/15/2014	12/1/2017
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	12/15/2014	12/1/2017
Inactive	Peerless Insurance Company	301910	Agent - Casualty	12/15/2014	12/1/2017
Inactive	Peerless Insurance Company	301910	Agent - Property	12/15/2014	12/1/2017
Inactive	West American Insurance Company	301112	Agent - Casualty	12/15/2014	12/1/2017
Inactive	West American Insurance Company	301112	Agent - Property	12/15/2014	12/1/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Paychex Insurance Agency Inc	509469	Agent - Property	12/15/2014	4/28/2017
Inactive	Paychex Insurance Agency Inc	509469	Agent - Casualty	12/15/2014	12/1/2017