DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Telisman, Erin	DOIID	875232	NAIC NPN	17448997

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	4/16/2015	12/2/2016
Inactive	Non Resident	Agent	Casualty	4/16/2015	12/2/2016
* 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 Modern Select Insurance Company	581481	Agent - Casualty	5/29/2015	1/9/2017
Inactive	American Modern Select Insurance Company	581481	Agent - Property	5/29/2015	1/9/2017
Inactive	Progressive Direct Insurance Company	301379	Agent - Casualty	4/21/2015	5/26/2015
Inactive	Progressive Direct Insurance Company	301379	Agent - Property	4/21/2015	5/26/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Property	4/23/2015	5/26/2015
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Casualty	4/23/2015	5/26/2015