DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Pintor Jacobo, Mario	DOIID	888072	NAIC NPN	17682657

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	9/19/2016	10/31/2017
Inactive	Non Resident	Agent	Property	9/19/2016	10/31/2017
Inactive	Non Resident	Agent	Life	8/21/2015	10/31/2017
Inactive	Non Resident	Agent	Health	8/21/2015	10/31/2017
* 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	Continental American Insurance Company	301700	Agent - Health	9/15/2015	10/31/2017
Inactive	Continental American Insurance Company	301700	Agent - Life	9/15/2015	10/31/2017
Inactive	Crestbrook Insurance Company	805354	Agent - Casualty	11/2/2016	10/31/2017
Inactive	Crestbrook Insurance Company	805354	Agent - Property	11/2/2016	10/31/2017
Inactive	National Casualty Company	301483	Agent - Casualty	11/2/2016	10/31/2017
Inactive	National Casualty Company	301483	Agent - Property	11/2/2016	10/31/2017
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	11/2/2016	10/31/2017
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	11/2/2016	10/31/2017
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	10/1/2015	10/31/2017
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	10/1/2015	10/31/2017
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	10/1/2015	10/31/2017
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	10/1/2015	10/31/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	DVM Insurance Agency	636779	Agent - Property	12/5/2016	10/31/2017
Inactive	DVM Insurance Agency	636779	Agent - Casualty	12/5/2016	10/31/2017