DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Nyczepir, Justin	DOIID	967902	NAIC NPN	18531366

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	1/2/2019	3/13/2023
Inactive	Non Resident	Agent	Personal Lines	9/15/2017	3/13/2023
Inactive	Non Resident	Agent	Property	1/2/2019	3/13/2023
* 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 Modern Property and Casualty Insurance Company	301954	Agent - Personal Lines	1/29/2019	3/1/2023
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	1/23/2019	4/25/2023
Inactive	Bristol West Insurance Company	301655	Agent - Personal Lines	11/30/2018	1/28/2019
Inactive	Bristol West Insurance Company	301655	Agent - Property	1/23/2019	4/25/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	1/23/2019	4/25/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Personal Lines	11/30/2018	1/28/2019
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	1/23/2019	4/25/2023
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	1/23/2019	4/25/2023
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Personal Lines	11/30/2018	1/28/2019
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	1/23/2019	4/25/2023
Inactive	Property and Casualty Insurance Company of Hartford	301409	Agent - Casualty	6/27/2019	9/20/2020
Inactive	Property and Casualty Insurance Company of Hartford	301409	Agent - Property	6/27/2019	9/20/2020
Inactive	Trumbull Insurance Company	300242	Agent - Casualty	1/4/2019	9/20/2020
Inactive	Trumbull Insurance Company	300242	Agent - Personal Lines	9/19/2017	9/21/2020
Inactive	Trumbull Insurance Company	300242	Agent - Property	1/4/2019	9/20/2020
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	1/4/2019	9/20/2020
Inactive	Twin City Fire Insurance Company	300721	Agent - Personal Lines	9/18/2017	9/20/2020
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	1/4/2019	9/20/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Nutmeg Insurance Agency, Inc.	502156	Agent - Casualty	1/15/2019	7/13/2022
Inactive	Nutmeg Insurance Agency, Inc.	502156	Agent - Property	1/15/2019	7/13/2022