DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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
Inactive	Non Resident	Agent	Health	8/28/2017	11/30/2024
Inactive	Non Resident	Agent	Property	8/28/2017	11/30/2024
Inactive	Non Resident	Agent	Casualty	8/28/2017	11/30/2024
Inactive	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.

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
Inactive	Specialty Risk Services LLC	596363	Agent - Health	11/17/2020	11/30/2024
Inactive	Specialty Risk Services LLC	596363	Agent - Life	11/17/2020	11/30/2024
Inactive	Specialty Risk Services LLC	596363	Agent - Property	11/17/2020	11/30/2024
Inactive	Specialty Risk Services LLC	596363	Agent - Casualty	11/17/2020	11/30/2024