DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Boerboom, Daniel	DOIID	968281	NAIC NPN	13116604

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	9/18/2017		11/30/2026
Active	Non Resident	Agent	Property	9/18/2017		11/30/2026
* 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
Active	ACE American Insurance Company	300625	Agent - Casualty	9/26/2017
Active	ACE American Insurance Company	300625	Agent - Property	9/26/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	USI Insurance Services National, Inc	509421	Agent - Property	9/26/2017	10/9/2019
Inactive	USI Insurance Services National, Inc	509421	Agent - Casualty	9/26/2017	10/9/2019
Active	Usi Insurance Services LLC	669260	Agent - Property	1/4/2019
Active	Usi Insurance Services LLC	669260	Agent - Casualty	1/4/2019