DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Noskowiak, Gerald J	DOIID	981863	NAIC NPN	18666779

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	1/17/2018		1/31/2025
Active	Non Resident	Agent	Property	1/17/2018		1/31/2025
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	10/4/2022	8/28/2023
* 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	11/15/2024	01/31/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Delta Defense LLC	982519	Agent - Property	1/25/2018
Active	Delta Defense LLC	982519	Agent - Casualty	1/25/2018
Inactive	Delta Defense LLC	982519	Surplus Lines Broker - Not Applicable	10/9/2022	8/28/2023
Inactive	Shield Risk Insurance Services LLC	1066830	Surplus Lines Broker - Not Applicable	12/3/2019	2/18/2020
Inactive	United States Concealed Carry Association Inc.	994699	Agent - Property	5/18/2018	2/7/2020
Inactive	United States Concealed Carry Association Inc.	994699	Agent - Casualty	5/18/2018	2/7/2020
Inactive	United States Concealed Carry Association Inc.	994699	Surplus Lines Broker - Not Applicable	6/25/2018	11/16/2018
Inactive	United States Concealed Carry Association, Inc.	1068200	Agent - Property	12/17/2019	3/3/2020
Inactive	United States Concealed Carry Association, Inc.	1068200	Agent - Casualty	12/17/2019	3/3/2020