DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Furbush, Douglas	DOIID	879729	NAIC NPN	16190081

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	6/4/2015	1/31/2024
Inactive	Non Resident	Agent	Health	5/2/2018	1/31/2024
Inactive	Non Resident	Agent	Property	6/4/2015	1/31/2024
Inactive	Non Resident	Agent	Life	5/2/2018	1/31/2024
* 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	Fireman's Fund Insurance Company	301423	Agent - Casualty	6/22/2015	12/29/2023
Inactive	Fireman's Fund Insurance Company	301423	Agent - Property	6/22/2015	12/29/2023
Inactive	United States Fire Insurance Company	582240	Agent - Casualty	5/5/2017	1/31/2024
Inactive	United States Fire Insurance Company	582240	Agent - Property	5/5/2017	1/31/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Property	6/22/2015	5/25/2022
Inactive	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Casualty	6/22/2015	5/25/2022