DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	PIQ LLC	DOIID	863407	NAIC NPN	17105416

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	12/12/2014	3/31/2020
Inactive	Non Resident	Agent	Property	12/12/2014	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	American Pet Insurance Company, Inc.	301240	Agent - Casualty	1/9/2017	2/14/2018
Inactive	American Pet Insurance Company, Inc.	301240	Agent - Property	1/9/2017	2/14/2018
Inactive	Independence American Insurance Company	524747	Agent - Casualty	12/29/2014	3/31/2020
Inactive	Independence American Insurance Company	524747	Agent - Property	12/29/2014	3/31/2020

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Braun, Nicholas Anthony	856091	Agent - Casualty	12/12/2014	3/31/2020
Inactive	Braun, Nicholas Anthony	856091	Agent - Property	12/12/2014	3/31/2020