DEPARTMENT OF INSURANCE

Affiliations

Name	Balta, Mauricio	DOIID	865348	NAIC NPN	17088836

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	7/23/2021		1/31/2026
Active	Non Resident	Agent	Casualty	7/23/2021		1/31/2026
Inactive	Non Resident	Agent	Personal Lines	1/9/2015	1/8/2019
* 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	11/15/2025	01/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Allmerica Financial Alliance Insurance Company	300823	Agent - Casualty	11/27/2024
Active	Allmerica Financial Alliance Insurance Company	300823	Agent - Property	11/27/2024
Active	Allmerica Financial Benefit Insurance Company	301223	Agent - Casualty	11/27/2024
Active	Allmerica Financial Benefit Insurance Company	301223	Agent - Property	11/27/2024
Active	Campmed Casualty & Indemnity Company, Inc.	693047	Agent - Casualty	11/27/2024
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	3/28/2019	7/8/2020
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Personal Lines	3/29/2018	1/8/2019
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	3/28/2019	7/8/2020
Inactive	Government Employees Insurance Company	300376	Agent - Casualty	3/27/2019	6/22/2020
Inactive	Government Employees Insurance Company	300376	Agent - Personal Lines	1/19/2015	1/8/2019
Inactive	Government Employees Insurance Company	300376	Agent - Property	3/27/2019	6/22/2020
Active	Hanover American Insurance Company (The)	300447	Agent - Casualty	11/27/2024
Active	Hanover American Insurance Company (The)	300447	Agent - Property	11/27/2024
Active	Hanover Insurance Company (The)	300508	Agent - Casualty	11/27/2024
Active	Hanover Insurance Company (The)	300508	Agent - Property	11/27/2024
Inactive	Homesite Insurance Company	301139	Agent - Casualty	6/11/2019	7/16/2020
Inactive	Homesite Insurance Company	301139	Agent - Personal Lines	4/27/2015	1/8/2019
Inactive	Homesite Insurance Company	301139	Agent - Property	6/11/2019	7/16/2020
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	6/11/2019	7/16/2020
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Personal Lines	7/11/2017	1/8/2019
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Property	6/11/2019	7/16/2020
Inactive	Jewelers Mutual Insurance Company, SI	301935	Agent - Casualty	3/3/2020	6/24/2020
Inactive	Jewelers Mutual Insurance Company, SI	301935	Agent - Personal Lines	4/3/2017	1/8/2019
Inactive	Jewelers Mutual Insurance Company, SI	301935	Agent - Property	3/3/2020	6/24/2020
Active	Massachusetts Bay Insurance Company	300898	Agent - Casualty	11/27/2024
Active	Massachusetts Bay Insurance Company	300898	Agent - Property	11/27/2024
Inactive	RLI Insurance Company	301217	Agent - Casualty	2/11/2020	3/11/2021
Inactive	RLI Insurance Company	301217	Agent - Personal Lines	3/27/2018	1/8/2019
Inactive	RLI Insurance Company	301217	Agent - Property	2/11/2020	3/11/2021
Active	Verlan Fire Insurance Company	517102	Agent - Casualty	11/27/2024
Active	Verlan Fire Insurance Company	517102	Agent - Property	11/27/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Geico Insurance Agency, LLC	558517	Agent - Personal Lines	1/22/2015	1/8/2019
Inactive	Geico Insurance Agency, LLC	558517	Agent - Property	3/27/2019	6/24/2020
Inactive	Geico Insurance Agency, LLC	558517	Agent - Casualty	3/27/2019	6/24/2020