DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Black, Andre Leonard	DOIID	907789	NAIC NPN	17338936

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	2/24/2016		11/30/2024
Active	Non Resident	Agent	Casualty	2/24/2016		11/30/2024
* 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	09/15/2024	11/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Essentia Insurance Company	300342	Agent - Casualty	3/21/2016
Active	Essentia Insurance Company	300342	Agent - Property	3/21/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Hagerty Ins Agency LLC	541031	Agent - Property	3/21/2016
Active	Hagerty Ins Agency LLC	541031	Agent - Casualty	3/21/2016