DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Elefant, Sheldon	DOIID	1231754	NAIC NPN	19727549

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	9/21/2022		9/30/2025
Active	Non Resident	Agent	Casualty	9/21/2022		9/30/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	9/21/2022		9/30/2025
* 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	Inactive Date
Inactive	American Zurich Insurance Company	300592	Agent - Casualty	10/6/2022	10/16/2023
Inactive	American Zurich Insurance Company	300592	Agent - Property	10/6/2022	10/16/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Willis Towers Watson Midwest, Inc.	534348	Agent - Casualty	10/12/2022	10/12/2022
Inactive	Willis Towers Watson Midwest, Inc.	534348	Agent - Property	10/12/2022	10/12/2022
Inactive	Willis Towers Watson Midwest, Inc.	534348	Surplus Lines Broker - Not Applicable	10/12/2022	10/12/2022
Inactive	Willis Towers Watson Northeast Inc	537673	Agent - Casualty	10/6/2022	8/29/2023
Inactive	Willis Towers Watson Northeast Inc	537673	Agent - Property	10/6/2022	8/29/2023
Inactive	Willis Towers Watson Northeast Inc	537673	Surplus Lines Broker - Not Applicable	10/12/2022	8/29/2023