DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Ivins, Elliot	DOIID	967397	NAIC NPN	18535680

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	9/24/2019		7/31/2026
Active	Non Resident	Agent	Property	9/24/2019		7/31/2026
Denied	Resident	Agent	Health
* 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	05/15/2024	07/31/2024	06/26/2024	06/26/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Pet Insurance Company, Inc.	301240	Agent - Casualty	10/1/2019	4/9/2021
Inactive	American Pet Insurance Company, Inc.	301240	Agent - Property	10/1/2019	4/9/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Arthur J Gallagher & Co Ins Brokers Of California Inc	513894	Agent - Casualty
Denied	Arthur J Gallagher & Co Ins Brokers Of California Inc	513894	Agent - Property