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	License Expiration Date
Inactive	Non Resident	Agent	Life	3/7/2014	1/3/2020
Pending Replacement	Non Resident	Agent	Health	3/7/2014		3/31/2025
Pending Replacement	Non Resident	Agent	Casualty	4/5/2013		3/31/2025
Pending Replacement	Non Resident	Agent	Property	4/5/2013		3/31/2025
Pending Replacement	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
Pending Replacement	AXIS Insurance Company	301290	Agent - Health	8/22/2014
Pending Replacement	Everest Denali Insurance Company	941054	Agent - Casualty	2/18/2020
Pending Replacement	Everest Denali Insurance Company	941054	Agent - Property	2/18/2020
Pending Replacement	Everest National Insurance Company	301319	Agent - Casualty	6/13/2016
Pending Replacement	Everest National Insurance Company	301319	Agent - Property	6/13/2016
Pending Replacement	Everest Premier Insurance Company	941053	Agent - Casualty	2/18/2020
Pending Replacement	Everest Premier Insurance Company	941053	Agent - Property	2/18/2020
Pending Replacement	United States Fire Insurance Company	582240	Agent - Casualty	1/24/2014
Pending Replacement	United States Fire Insurance Company	582240	Agent - Property	1/24/2014

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Daily, Andrea Michele	1028165	Agent - Casualty	4/6/2022
Inactive	Daily, Andrea Michele	1028165	Agent - Health	4/6/2022	12/26/2024
Active	Daily, Andrea Michele	1028165	Agent - Property	4/6/2022
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
Active	Nikolai, David	633792	Agent - Casualty	12/18/2018
Denied	Nikolai, David	633792	Agent - Health
Denied	Nikolai, David	633792	Agent - Life
Active	Nikolai, David	633792	Agent - Property	12/18/2018
Active	Nikolai, David	633792	Surplus Lines Broker - Not Applicable	11/15/2019
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
Active	Pfefferkorn, Michael A	634062	Agent - Casualty	6/10/2016
Active	Pfefferkorn, Michael A	634062	Agent - Health	3/9/2016
Denied	Pfefferkorn, Michael A	634062	Agent - Life
Active	Pfefferkorn, Michael A	634062	Agent - Property	6/10/2016
Active	Robinson, Charles Lowery	806386	Agent - Casualty	8/4/2014
Active	Robinson, Charles Lowery	806386	Agent - Property	8/4/2014
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