DEPARTMENT OF INSURANCE

Name	Idelson, Marc D	DOIID	597647	NAIC NPN	400091

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	11/2/2004	12/31/2024
Active	Non Resident	Agent	Life	11/2/2004	12/31/2024
Active	Non Resident	Agent	Casualty	11/2/2004	12/31/2024
Active	Non Resident	Agent	Property	11/2/2004	12/31/2024
Active	Non Resident	Surplus Lines Broker	Not Applicable	7/13/2015	12/31/2024

*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	10/15/2024	12/31/2024
Surplus Lines Broker	10/15/2024	12/31/2024

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Business / Home Office	160 Gould St Ste 121 Needham, MA 024942300
Residence	Not Public Information

Internet Information

Type	Address
Internet	www.asui.com

Phone Information

Type	Phone
Business / Home Office	(617) 610-6807