DEPARTMENT OF INSURANCE

Affiliations

Name	Cohen, Chaim N	DOIID	1393660	NAIC NPN	1987535

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	4/7/2025	2/29/2028
Active	Non Resident	Agent	Casualty	4/7/2025	2/29/2028
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending	Brooks Group Ins Agency LLC	938515	Agent - Casualty
Pending	Brooks Group Ins Agency LLC	938515	Agent - Property