DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Surowitz, Mitchell	DOIID	1041621	NAIC NPN	17488491

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/8/2023		5/31/2026
Active	Non Resident	Agent	Casualty	8/8/2023		5/31/2026
Active	Non Resident	Agent	Life	8/8/2023		5/31/2026
Active	Non Resident	Agent	Property	8/8/2023		5/31/2026
* 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	03/15/2026	05/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	AGCS Marine Insurance Company	300403	Agent - Casualty	9/5/2023
Active	AGCS Marine Insurance Company	300403	Agent - Property	9/5/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arthur J Gallagher & Co Ins Brokers Of California Inc	513894	Agent - Casualty	6/11/2019	2/1/2023
Denied	Arthur J Gallagher & Co Ins Brokers Of California Inc	513894	Agent - Life
Denied	Arthur J Gallagher & Co Ins Brokers Of California Inc	513894	Agent - Health
Inactive	Arthur J Gallagher & Co Ins Brokers Of California Inc	513894	Agent - Property	6/11/2019	2/1/2023
Active	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Casualty	9/19/2023
Denied	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Life
Denied	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Health
Active	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Property	9/19/2023