Individual Information

PER HENRIK JOHAN ROMBERG

Address:

SAN DIEGO, CA 92123-1898

Status:

Active

Email:

licensing@csatravelprotection.com

Date:

04/27/2007

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	536597	04/27/2007	Active	04/27/2007	04/30/2028

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	04/27/2007	Active	04/27/2007
Health	04/27/2007	Active	04/27/2007
Property	04/27/2007	Active	04/27/2007

Company Name	Appointment Type	Status	Active Date
270
GENERALI - U.S. BRANCH	Casualty	Active	07/03/2013
	Property	Active	07/03/2013
632
Company Name	Appointment Type	Status	Active Date
NORTH RIVER INSURANCE COMPANY (THE)	Casualty	Active	05/29/2024
	Health	Active	05/29/2024
	Property	Active	05/29/2024
890
Company Name	Appointment Type	Status	Active Date
TRANSAMERICA LIFE INSURANCE COMPANY	Health	Active	08/09/2021
692
Company Name	Appointment Type	Status	Active Date
UNITED STATES FIRE INSURANCE COMPANY	Casualty	Active	05/29/2024
	Health	Active	05/29/2024
	Property	Active	05/29/2024

row(s) 1 - 9 of 9

Organization	Association Type	Type	Beg dte	End dte
CUSTOMIZED SERVICES ADMINISTRATORS, INCORPORATED	Designated Resp Lic Prdcr	Agency	09/15/2020	-

1 - 1