DEPARTMENT OF INSURANCE

Name	Banasky Ins Inc	DOIID	973239	NAIC NPN	17105945

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Non Resident	Agent	Casualty	10/17/2017	3/31/2021
Inactive	Non Resident	Agent	Property	10/17/2017	3/31/2021

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

No License Renewal Information

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date.

Address Information

Type	Address
Business / Home Office	891 Baxter Drive South Jordan, UT 84095

Phone Information

Type	Phone
Business / Home Office	(801) 748-1009