DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Worthington, Justin D	DOIID	904290	NAIC NPN	17826529

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	1/19/2016		2/28/2026
Active	Non Resident	Agent	Casualty	1/19/2016		2/28/2026
* 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	AGCS Marine Insurance Company	300403	Agent - Casualty	2/22/2016	2/6/2020
Inactive	AGCS Marine Insurance Company	300403	Agent - Property	2/22/2016	2/6/2020
Active	AXIS Insurance Company	301290	Agent - Casualty	1/12/2021
Active	AXIS Insurance Company	301290	Agent - Property	1/12/2021
Active	XL Specialty Insurance Company	301605	Agent - Casualty	5/18/2016
Active	XL Specialty Insurance Company	301605	Agent - Property	5/18/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Fetch Insurance Services LLC	705274	Agent - Property	11/19/2019
Active	Fetch Insurance Services LLC	705274	Agent - Casualty	11/19/2019