Individual Information

WAYNE SLAVIN

DALLAS, TX 75225-6202

Active

producerlicensing@sureapp.com

01/25/2016

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	3135083	01/25/2016	Active	01/25/2016	01/31/2028

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	01/25/2016	Active	01/25/2016
Health	01/25/2016	Active	01/25/2016
Life	01/25/2016	Active	01/25/2016
Property	01/25/2016	Active	01/25/2016
Surplus Lines	01/26/2022	Inactive	08/19/2022

Company Name	Appointment Type	Status	Active Date
17
ACE AMERICAN INSURANCE COMPANY	Casualty	Active	07/14/2021
	Health	Active	07/14/2021
	Property	Active	07/14/2021
6
Company Name	Appointment Type	Status	Active Date
ACE PROPERTY & CASUALTY INSURANCE COMPANY	Casualty	Active	07/14/2021
	Health	Active	07/14/2021
	Property	Active	07/14/2021
29
Company Name	Appointment Type	Status	Active Date
AMERICAN BANKERS INSURANCE COMPANY OF FLORIDA	Casualty	Active	04/14/2020
	Property	Active	04/14/2020
1752
Company Name	Appointment Type	Status	Active Date
CHUBB NATIONAL INSURANCE COMPANY	Casualty	Active	07/14/2021
	Health	Active	07/14/2021
	Property	Active	07/14/2021
233
Company Name	Appointment Type	Status	Active Date
FEDERAL INSURANCE COMPANY	Casualty	Active	07/14/2021
	Health	Active	07/14/2021
	Property	Active	07/14/2021
153618
Company Name	Appointment Type	Status	Active Date
JM SPECIALTY INSURANCE COMPANY	Casualty	Active	12/11/2025
	Property	Active	12/11/2025
461
Company Name	Appointment Type	Status	Active Date
NATIONWIDE MUTUAL INSURANCE COMPANY	Health	Active	11/04/2024
510
Company Name	Appointment Type	Status	Active Date
PACIFIC INDEMNITY COMPANY	Casualty	Active	02/24/2020
	Property	Active	02/24/2020
692
Company Name	Appointment Type	Status	Active Date
UNITED STATES FIRE INSURANCE COMPANY	Casualty	Active	04/24/2018
	Property	Active	04/24/2018

row(s) 1 - 21 of 21

Organization	Association Type	Type	Beg dte	End dte
SURE HIIS INSURANCE SERVICES, LLC	Designated Resp Lic Prdcr	Agency	04/26/2022	-

1 - 1