PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameFusion Specialty Americas Insurance Services LlcDOIID1083560NAIC NPN19487260
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentProperty5/11/2020 3/31/2026
ActiveNon ResidentAgentCasualty5/11/2020 3/31/2026
ActiveNon ResidentSurplus Lines BrokerNot Applicable8/27/2021 3/31/2026
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveImperium Insurance Company300804Agent - Casualty2/27/2023 
ActiveImperium Insurance Company300804Agent - Property2/27/2023 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveHughes, Forest Ingram 876593Agent - Casualty5/11/20202/7/2023
InactiveHughes, Forest Ingram 876593Agent - Property5/11/20202/7/2023
InactiveHughes, Forest Ingram 876593Surplus Lines Broker - Not Applicable8/27/20212/7/2023
ActiveMora, Michael Alan 1212985Agent - Casualty2/27/2023 
ActiveMora, Michael Alan 1212985Agent - Property2/27/2023 
ActiveMora, Michael Alan 1212985Surplus Lines Broker - Not Applicable10/11/2022 
DeniedStortzum, Nathan 1198744Agent - Casualty  
DeniedStortzum, Nathan 1198744Agent - Property  
InactiveStortzum, Nathan 1198744Surplus Lines Broker - Not Applicable2/7/20232/27/2023

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