DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Fortera Ins Agency LLC	DOIID	954409	NAIC NPN	18406882

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	5/15/2017	3/31/2019
Inactive	Non Resident	Agent	Casualty	5/15/2017	3/31/2019
Inactive	Non Resident	Agent	Life	5/15/2017	3/31/2019
Inactive	Non Resident	Agent	Property	5/15/2017	3/31/2019
* 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	American Strategic Insurance Corp	883540	Agent - Casualty	6/1/2017	3/31/2019
Inactive	American Strategic Insurance Corp	883540	Agent - Property	6/1/2017	3/31/2019
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	6/30/2017	3/31/2019
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	6/30/2017	3/31/2019
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	8/8/2017	3/31/2019
Inactive	QBE Insurance Corporation	300515	Agent - Property	8/8/2017	3/31/2019
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	7/12/2017	3/31/2019
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	7/12/2017	3/31/2019
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	7/12/2017	3/31/2019
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	7/12/2017	3/31/2019
Inactive	United Financial Casualty Company	301886	Agent - Casualty	6/30/2017	3/31/2019
Inactive	United Financial Casualty Company	301886	Agent - Property	6/30/2017	3/31/2019

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Chesky, Jeffrey Carl	692036	Agent - Casualty	5/15/2017	3/31/2019
Inactive	Chesky, Jeffrey Carl	692036	Agent - Health	5/15/2017	3/31/2019
Inactive	Chesky, Jeffrey Carl	692036	Agent - Life	5/15/2017	3/31/2019
Inactive	Chesky, Jeffrey Carl	692036	Agent - Property	5/15/2017	3/31/2019