DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Kathman, Nicholas William	DOIID	997154	NAIC NPN	18812466

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Casualty	6/26/2018	8/31/2021
Inactive	Resident	Agent	Property	6/26/2018	8/31/2021
Inactive	Resident	Staff Adjuster	Property & Casualty	7/1/2020	8/31/2023
* 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	Addison Insurance Company	874810	Agent - Casualty	11/19/2018	12/16/2019
Inactive	Addison Insurance Company	874810	Agent - Property	11/19/2018	12/16/2019
Inactive	BrickStreet Mutual Insurance Company	709251	Agent - Casualty	3/25/2019	4/17/2020
Inactive	NorthStone Insurance Company	818905	Agent - Casualty	3/25/2019	4/17/2020
Inactive	PinnaclePoint Insurance Company	819085	Agent - Casualty	3/25/2019	4/17/2020
Inactive	SummitPoint Insurance Company	819084	Agent - Casualty	3/25/2019	4/17/2020
Inactive	United Fire & Casualty Company	301374	Agent - Casualty	11/19/2018	12/16/2019
Inactive	United Fire & Casualty Company	301374	Agent - Property	11/19/2018	12/16/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Public Entity Insurance, Inc.	398396	Agent - Casualty	12/5/2018	4/17/2020
Inactive	Public Entity Insurance, Inc.	398396	Agent - Property	12/5/2018	12/16/2019