DEPARTMENT OF INSURANCE
Affiliations
NameKosienski, Scott GregoryDOIID1204260NAIC NPN7388752
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentCasualty5/10/2022 10/31/2024
ActiveNon ResidentAgentProperty5/10/2022 10/31/2024
ActiveNon ResidentSurplus Lines BrokerNot Applicable5/10/2022 10/31/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent08/15/202410/31/2024   
Surplus Lines Broker08/15/202410/31/2024   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveZurich American Insurance Company301121Agent - Casualty5/18/202211/29/2022
InactiveZurich American Insurance Company301121Agent - Property5/18/202211/29/2022
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveWillis Towers Watson Northeast Inc537673Agent - Casualty5/18/202211/29/2022
InactiveWillis Towers Watson Northeast Inc537673Agent - Property5/18/202211/29/2022
InactiveWillis Towers Watson Northeast Inc537673Surplus Lines Broker - Not Applicable5/17/20229/6/2023

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