DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Slivka, Jeffery Michael	DOIID	897065	NAIC NPN	7020311

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	10/27/2015		6/30/2026
Active	Non Resident	Agent	Property	10/27/2015		6/30/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	10/27/2015		6/30/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	04/15/2024	06/30/2024	04/19/2024	04/19/2024	Yes
Surplus Lines Broker	04/15/2024	06/30/2024	04/19/2024	04/19/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	12/16/2015
Active	American Guarantee and Liability Insurance Company	301216	Agent - Property	12/16/2015
Active	American Zurich Insurance Company	300592	Agent - Casualty	12/16/2015
Active	American Zurich Insurance Company	300592	Agent - Property	12/16/2015
Active	Arch Insurance Company	300688	Agent - Casualty	1/25/2023
Active	Arch Insurance Company	300688	Agent - Property	1/25/2023
Active	Zurich American Insurance Company	301121	Agent - Casualty	12/16/2015
Active	Zurich American Insurance Company	301121	Agent - Property	12/16/2015
Active	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	12/16/2015
Active	Zurich American Insurance Company of Illinois	301805	Agent - Property	12/16/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	RSG Specialty, LLC	726176	Agent - Property	10/10/2018
Active	RSG Specialty, LLC	726176	Agent - Casualty	10/10/2018
Active	RSG Specialty, LLC	726176	Surplus Lines Broker - Not Applicable	10/10/2018