DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Dezelan, Martin	DOIID	1115656	NAIC NPN	8721492

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	1/6/2021		12/31/2025
Active	Non Resident	Agent	Property	1/6/2021		12/31/2025
* 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	10/15/2025	12/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	BrickStreet Mutual Insurance Company	709251	Agent - Casualty	11/27/2021	11/27/2021
Active	Employers Insurance Company of Wausau	301813	Agent - Casualty	1/20/2021
Active	Employers Insurance Company of Wausau	301813	Agent - Property	1/20/2021
Active	Fireman's Fund Insurance Company	301423	Agent - Casualty	1/29/2021
Active	Fireman's Fund Insurance Company	301423	Agent - Property	1/29/2021
Active	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	1/20/2021
Active	First Liberty Insurance Corporation (The)	301060	Agent - Property	1/20/2021
Active	LM Insurance Corporation	301061	Agent - Casualty	1/20/2021
Active	LM Insurance Corporation	301061	Agent - Property	1/20/2021
Active	Liberty Insurance Corporation	300444	Agent - Casualty	1/20/2021
Active	Liberty Insurance Corporation	300444	Agent - Property	1/20/2021
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	1/20/2021
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Property	1/20/2021
Inactive	NorthStone Insurance Company	818905	Agent - Casualty	11/27/2021	11/27/2021
Inactive	PinnaclePoint Insurance Company	819085	Agent - Casualty	11/27/2021	11/27/2021
Inactive	SummitPoint Insurance Company	819084	Agent - Casualty	11/27/2021	11/27/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Casualty	7/28/2021
Active	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Property	7/28/2021