Individual Information

DAVID M HATLEM

CHARLOTTE, NC 28211-4448

Active

dhatlem@gmail.com

09/16/2013

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	903891	09/16/2013	Active	09/16/2013	09/30/2025

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	09/16/2013	Active	09/16/2013
Health	09/16/2013	Active	09/16/2013
Life	09/16/2013	Active	09/16/2013
Property	09/16/2013	Active	09/16/2013

Company Name	Appointment Type	Status	Active Date
1256
AIG ASSURANCE COMPANY	Casualty	Active	09/19/2023
	Property	Active	09/19/2023
113
Company Name	Appointment Type	Status	Active Date
AIG PROPERTY CASUALTY COMPANY	Casualty	Active	09/19/2023
	Property	Active	09/19/2023
759
Company Name	Appointment Type	Status	Active Date
AIU INSURANCE COMPANY	Casualty	Active	09/19/2023
	Property	Active	09/19/2023
49
Company Name	Appointment Type	Status	Active Date
AMERICAN HOME ASSURANCE COMPANY	Casualty	Active	09/19/2023
	Property	Active	09/19/2023
168
Company Name	Appointment Type	Status	Active Date
COMMERCE AND INDUSTRY INSURANCE COMPANY	Casualty	Active	09/19/2023
	Property	Active	09/19/2023
287
Company Name	Appointment Type	Status	Active Date
GRANITE STATE INSURANCE COMPANY	Casualty	Active	09/19/2023
	Property	Active	09/19/2023
1507
Company Name	Appointment Type	Status	Active Date
ILLINOIS NATIONAL INSURANCE COMPANY	Casualty	Active	09/19/2023
	Property	Active	09/19/2023
336
Company Name	Appointment Type	Status	Active Date
INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA (THE)	Casualty	Active	09/19/2023
	Property	Active	09/19/2023
456
Company Name	Appointment Type	Status	Active Date
NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH PA	Casualty	Active	09/19/2023
	Property	Active	09/19/2023
466
Company Name	Appointment Type	Status	Active Date
NEW HAMPSHIRE INSURANCE COMPANY	Casualty	Active	09/19/2023
	Property	Active	09/19/2023

row(s) 1 - 20 of 20

Organization	Association Type	Type	Beg dte	End dte
WSIB INS AGENCY LLC	Designated Resp Lic Prdcr	Agency	04/15/2020	-

1 - 1