DEPARTMENT OF INSURANCE

Affiliations

Name	Eversports & Entertainment Insurance Inc	DOIID	807327	NAIC NPN	16924430

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	4/5/2013	3/31/2025
Inactive	Non Resident	Agent	Health	3/7/2014	3/31/2025
Inactive	Non Resident	Agent	Casualty	4/5/2013	3/31/2025
Inactive	Non Resident	Agent	Life	3/7/2014	1/3/2020
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	4/9/2013	3/31/2025
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AXIS Insurance Company	301290	Agent - Health	8/22/2014	3/31/2025
Inactive	Everest Denali Insurance Company	941054	Agent - Casualty	2/18/2020	3/31/2025
Inactive	Everest Denali Insurance Company	941054	Agent - Property	2/18/2020	3/31/2025
Inactive	Everest National Insurance Company	301319	Agent - Casualty	6/13/2016	3/31/2025
Inactive	Everest National Insurance Company	301319	Agent - Property	6/13/2016	3/31/2025
Inactive	Everest Premier Insurance Company	941053	Agent - Casualty	2/18/2020	3/31/2025
Inactive	Everest Premier Insurance Company	941053	Agent - Property	2/18/2020	3/31/2025
Inactive	United States Fire Insurance Company	582240	Agent - Casualty	1/24/2014	3/31/2025
Inactive	United States Fire Insurance Company	582240	Agent - Property	1/24/2014	3/31/2025

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Daily, Andrea Michele	1028165	Agent - Casualty	4/6/2022	3/31/2025
Inactive	Daily, Andrea Michele	1028165	Agent - Health	4/6/2022	12/26/2024
Inactive	Daily, Andrea Michele	1028165	Agent - Property	4/6/2022	3/31/2025
Inactive	Harris, David A	364917	Agent - Casualty	4/5/2013	1/3/2020
Inactive	Harris, David A	364917	Agent - Health	3/7/2014	1/3/2020
Inactive	Harris, David A	364917	Agent - Life	3/7/2014	1/3/2020
Inactive	Harris, David A	364917	Agent - Property	4/5/2013	1/3/2020
Inactive	Harris, David A	364917	Surplus Lines Broker - Not Applicable	4/9/2013	1/3/2020
Inactive	Holzinger, Jody Lynn	642575	Agent - Casualty	7/15/2014	1/8/2018
Inactive	Holzinger, Jody Lynn	642575	Agent - Health	4/20/2015	1/8/2018
Denied	Holzinger, Jody Lynn	642575	Agent - Life
Inactive	Holzinger, Jody Lynn	642575	Agent - Property	7/15/2014	1/8/2018
Denied	Landrum, Charles Thomas	563579	Agent - Casualty
Denied	Landrum, Charles Thomas	563579	Agent - Health
Denied	Landrum, Charles Thomas	563579	Agent - Property
Inactive	Landrum, Charles Thomas	563579	Surplus Lines Broker - Not Applicable	7/23/2014	3/22/2021
Inactive	Nikolai, David	633792	Agent - Casualty	12/18/2018	3/31/2025
Denied	Nikolai, David	633792	Agent - Health
Denied	Nikolai, David	633792	Agent - Life
Inactive	Nikolai, David	633792	Agent - Property	12/18/2018	3/31/2025
Inactive	Nikolai, David	633792	Surplus Lines Broker - Not Applicable	11/15/2019	3/31/2025
Inactive	Peters, Marla Krull	632885	Agent - Casualty	5/4/2015	1/7/2016
Inactive	Peters, Marla Krull	632885	Agent - Health		1/7/2016
Inactive	Peters, Marla Krull	632885	Agent - Life		1/7/2016
Inactive	Peters, Marla Krull	632885	Agent - Property	5/4/2015	1/7/2016
Inactive	Pfefferkorn, Michael A	634062	Agent - Casualty	6/10/2016	3/31/2025
Inactive	Pfefferkorn, Michael A	634062	Agent - Health	3/9/2016	3/31/2025
Denied	Pfefferkorn, Michael A	634062	Agent - Life
Inactive	Pfefferkorn, Michael A	634062	Agent - Property	6/10/2016	3/31/2025
Inactive	Robinson, Charles Lowery	806386	Agent - Casualty	8/4/2014	3/31/2025
Inactive	Robinson, Charles Lowery	806386	Agent - Property	8/4/2014	3/31/2025
Inactive	Wachenschwanz, Doreen A	507110	Agent - Casualty	5/14/2018	3/20/2019
Denied	Wachenschwanz, Doreen A	507110	Agent - Health
Inactive	Wachenschwanz, Doreen A	507110	Agent - Property	5/14/2018	3/20/2019