DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Ortiz, Joal Samuel	DOIID	947752	NAIC NPN	17136412

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	7/21/2021		11/30/2026
Active	Non Resident	Agent	Property	7/21/2021		11/30/2026
* 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	Dairyland Insurance Company	301370	Agent - Casualty	8/18/2021	4/30/2024
Inactive	Dairyland Insurance Company	301370	Agent - Property	8/18/2021	4/30/2024
Active	Integon Indemnity Corporation	300674	Agent - Casualty	5/23/2025
Active	Integon Indemnity Corporation	300674	Agent - Property	5/23/2025
Inactive	National Casualty Company	301483	Agent - Casualty	3/15/2017	11/30/2018
Inactive	National Casualty Company	301483	Agent - Property	3/15/2017	11/30/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	DVM Insurance Agency	636779	Agent - Property	3/28/2017	11/30/2018
Inactive	DVM Insurance Agency	636779	Agent - Casualty	3/28/2017	11/30/2018
Active	Insurance Express Services Inc.	1382159	Agent - Property	1/28/2025
Active	Insurance Express Services Inc.	1382159	Agent - Casualty	1/28/2025