DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Baran Jr, Theodore John	DOIID	974805	NAIC NPN	13061762

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	10/28/2017		11/30/2025
Active	Non Resident	Agent	Property	10/28/2017		11/30/2025
* 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
Active	Mitsui Sumitomo Insurance Company of America	301070	Agent - Casualty	4/23/2019
Active	Mitsui Sumitomo Insurance Company of America	301070	Agent - Property	4/23/2019
Active	Mitsui Sumitomo Insurance USA Inc.	301681	Agent - Casualty	4/23/2019
Active	Mitsui Sumitomo Insurance USA Inc.	301681	Agent - Property	4/23/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	HUB International Northwest, LLC	631011	Agent - Property	9/24/2019
Active	HUB International Northwest, LLC	631011	Agent - Casualty	9/24/2019