DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Staisiunas, Kevin	DOIID	900400	NAIC NPN	17082134

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	11/30/2015	5/31/2018
Inactive	Non Resident	Agent	Casualty	11/30/2015	5/31/2018
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	9/9/2016	5/31/2018
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bin Insurance Holdings LLC	728102	Surplus Lines Broker - Not Applicable	10/13/2016	5/22/2017