DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Lazar, John Thomas	DOIID	944525	NAIC NPN	18287895

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	2/10/2017	6/25/2019
Inactive	Non Resident	Agent	Property	2/10/2017	6/25/2019
* 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	Zurich American Insurance Company	301121	Agent - Casualty	2/24/2017	6/25/2019
Inactive	Zurich American Insurance Company	301121	Agent - Property	2/24/2017	6/25/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Willis Towers Watson Insurance Services West Inc	538729	Agent - Property	3/9/2017	10/23/2018
Inactive	Willis Towers Watson Insurance Services West Inc	538729	Agent - Casualty	3/9/2017	10/23/2018