DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Gernat, William	DOIID	965438	NAIC NPN	18489045

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/28/2017		11/30/2024
Active	Non Resident	Agent	Casualty	8/28/2017		11/30/2024
Active	Non Resident	Agent	Property	8/28/2017		11/30/2024
Active	Non Resident	Agent	Life	8/28/2017		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
Inactive	AMEX Assurance Company	301728	Agent - Casualty	11/16/2017	4/3/2019
Inactive	AMEX Assurance Company	301728	Agent - Health	11/16/2017	4/3/2019
Inactive	AMEX Assurance Company	301728	Agent - Property	11/16/2017	4/3/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Specialty Risk Services LLC	596363	Agent - Health	11/17/2020
Active	Specialty Risk Services LLC	596363	Agent - Life	11/17/2020
Active	Specialty Risk Services LLC	596363	Agent - Property	11/17/2020
Active	Specialty Risk Services LLC	596363	Agent - Casualty	11/17/2020