DEPARTMENT OF INSURANCE

Affiliations

Name	Assurex Agency Inc	DOIID	722458	NAIC NPN	15324277

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	2/1/2023	3/31/2026
Active	Non Resident	Agent	Life	2/1/2023	3/31/2026
Active	Non Resident	Agent	Property	2/6/2010	3/31/2026
Active	Non Resident	Agent	Casualty	2/6/2010	3/31/2026
* 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	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Allianz Global Risks US Insurance Company	301250	Agent - Casualty	9/30/2021
Active	Allianz Global Risks US Insurance Company	301250	Agent - Property	9/30/2021
Active	Fireman's Fund Insurance Company	301423	Agent - Casualty	7/6/2010
Active	Fireman's Fund Insurance Company	301423	Agent - Property	7/6/2010
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	8/26/2014	10/5/2021
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	8/26/2014	10/5/2021
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	6/26/2023
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	6/26/2023
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	3/6/2015	12/9/2022
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	3/6/2015	12/9/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Buicko, Shawn E	774430	Agent - Casualty	10/26/2022
Active	Buicko, Shawn E	774430	Agent - Health	2/1/2023
Active	Buicko, Shawn E	774430	Agent - Life	2/1/2023
Active	Buicko, Shawn E	774430	Agent - Property	10/26/2022
Inactive	Clark, John Harvey	371097	Agent - Health	4/8/2014	8/31/2018
Inactive	Clark, John Harvey	371097	Agent - Life	4/8/2014	8/31/2018
Inactive	Driskell, Daniel P	817731	Agent - Casualty	3/2/2018	2/5/2019
Denied	Driskell, Daniel P	817731	Agent - Health
Denied	Driskell, Daniel P	817731	Agent - Life
Inactive	Driskell, Daniel P	817731	Agent - Property	3/2/2018	2/5/2019
Inactive	Germundson, Steven Eric	771295	Agent - Casualty	3/20/2012	9/8/2014
Inactive	Germundson, Steven Eric	771295	Agent - Property	3/20/2012	9/8/2014
Active	Hildebrandt, Dean Robert	615933	Agent - Casualty	8/15/2019
Active	Hildebrandt, Dean Robert	615933	Agent - Property	8/15/2019
Denied	Mazon, Riccardo L	966310	Agent - Casualty
Inactive	Mazon, Riccardo L	966310	Agent - Health	11/6/2018	12/9/2022
Inactive	Mazon, Riccardo L	966310	Agent - Life	11/6/2018	12/9/2022
Denied	Mazon, Riccardo L	966310	Agent - Property
Inactive	Ruml, Douglas K	719770	Agent - Casualty	2/6/2010	2/2/2012
Inactive	Ruml, Douglas K	719770	Agent - Property	2/6/2010	2/2/2012