DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	09/15/2025	11/30/2025

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