DEPARTMENT OF INSURANCE

Affiliations

Name	Lockton Specialties LLC	DOIID	1001746	NAIC NPN	17391475

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	7/24/2018	3/31/2026
Active	Non Resident	Agent	Life	7/24/2018	3/31/2026
Active	Non Resident	Agent	Health	7/24/2018	3/31/2026
Active	Non Resident	Agent	Casualty	7/24/2018	3/31/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	12/21/2020	3/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2026	03/31/2026
Surplus Lines Broker	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACE American Insurance Company	300625	Agent - Casualty	8/29/2022
Active	ACE American Insurance Company	300625	Agent - Property	8/29/2022
Active	AIG Property Casualty Company	300621	Agent - Casualty	10/5/2022
Active	AIG Property Casualty Company	300621	Agent - Property	10/5/2022
Active	Bankers Standard Insurance Company	301620	Agent - Casualty	8/29/2022
Active	Bankers Standard Insurance Company	301620	Agent - Property	8/29/2022
Active	Chubb Indemnity Insurance Company	300438	Agent - Casualty	8/29/2022
Active	Chubb Indemnity Insurance Company	300438	Agent - Property	8/29/2022
Active	Chubb National Insurance Company	301392	Agent - Casualty	8/29/2022
Active	Chubb National Insurance Company	301392	Agent - Property	8/29/2022
Active	Cincinnati Casualty Company (The)	300308	Agent - Casualty	10/30/2024
Active	Cincinnati Casualty Company (The)	300308	Agent - Property	10/30/2024
Active	Cincinnati Indemnity Company (The)	301566	Agent - Casualty	10/30/2024
Active	Cincinnati Indemnity Company (The)	301566	Agent - Property	10/30/2024
Active	Cincinnati Insurance Company	301298	Agent - Casualty	9/19/2024
Active	Cincinnati Insurance Company	301298	Agent - Property	9/19/2024
Active	Crestbrook Insurance Company	805354	Agent - Casualty	7/28/2022
Active	Crestbrook Insurance Company	805354	Agent - Property	7/28/2022
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	9/5/2022	10/3/2024
Inactive	Encompass Indemnity Company	546376	Agent - Property	9/5/2022	10/3/2024
Active	Executive Risk Indemnity Inc.	301510	Agent - Casualty	8/29/2022
Active	Executive Risk Indemnity Inc.	301510	Agent - Property	8/29/2022
Active	Federal Insurance Company	301144	Agent - Casualty	8/29/2022
Active	Federal Insurance Company	301144	Agent - Property	8/29/2022
Active	Great Northern Insurance Company	301107	Agent - Casualty	8/29/2022
Active	Great Northern Insurance Company	301107	Agent - Property	8/29/2022
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	5/19/2022
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	5/19/2022
Active	Nationwide Agribusiness Insurance Company	301008	Agent - Casualty	8/23/2024
Active	Nationwide Agribusiness Insurance Company	301008	Agent - Property	8/23/2024
Active	Nationwide Mutual Insurance Company	301749	Agent - Casualty	7/28/2022
Active	Nationwide Mutual Insurance Company	301749	Agent - Property	7/28/2022
Active	Pacific Indemnity Company	301610	Agent - Casualty	8/29/2022
Active	Pacific Indemnity Company	301610	Agent - Property	8/29/2022
Active	Privilege Underwriters Reciprocal Exchange	769657	Agent - Casualty	12/10/2022
Active	Privilege Underwriters Reciprocal Exchange	769657	Agent - Property	12/10/2022
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	3/16/2023
Active	Progressive Casualty Insurance Company	300696	Agent - Property	3/16/2023
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	4/14/2022
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	4/14/2022
Active	QBE Insurance Corporation	300515	Agent - Casualty	7/1/2025
Active	QBE Insurance Corporation	300515	Agent - Property	7/1/2025
Active	Reliance Standard Life Insurance Company	300584	Agent - Health	2/7/2023
Active	Reliance Standard Life Insurance Company	300584	Agent - Life	2/7/2023
Active	Starmount Life Insurance Company	628031	Agent - Health	4/14/2022
Active	UNUM Life Insurance Company of America	300817	Agent - Health	4/14/2022
Active	UNUM Life Insurance Company of America	300817	Agent - Life	4/14/2022
Active	United Financial Casualty Company	301886	Agent - Casualty	3/16/2023
Active	United Financial Casualty Company	301886	Agent - Property	3/16/2023
Active	United of Omaha Life Insurance Company	300156	Agent - Health	5/24/2022
Active	United of Omaha Life Insurance Company	300156	Agent - Life	5/24/2022
Active	Unum Insurance Company	301499	Agent - Health	4/14/2022
Active	Unum Insurance Company	301499	Agent - Life	4/14/2022
Active	Vigilant Insurance Company	301143	Agent - Casualty	8/29/2022
Active	Vigilant Insurance Company	301143	Agent - Property	8/29/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Ahern, Shane Robert	1184971	Agent - Casualty
Denied	Ahern, Shane Robert	1184971	Agent - Property
Inactive	Bell, Nathan Gareth	1184970	Agent - Casualty	7/28/2022	9/9/2024
Inactive	Bell, Nathan Gareth	1184970	Agent - Property	7/28/2022	9/9/2024
Active	Duvall, Spencer Robert	1366706	Agent - Casualty	7/16/2025
Active	Duvall, Spencer Robert	1366706	Agent - Health	7/16/2025
Active	Duvall, Spencer Robert	1366706	Agent - Life	7/16/2025
Active	Duvall, Spencer Robert	1366706	Agent - Property	7/16/2025
Active	Duvall, Spencer Robert	1366706	Surplus Lines Broker - Not Applicable	7/16/2025
Inactive	Mandato, Claudia	607870	Agent - Casualty	7/24/2018	7/16/2025
Inactive	Mandato, Claudia	607870	Agent - Health	7/24/2018	7/16/2025
Inactive	Mandato, Claudia	607870	Agent - Life	7/24/2018	7/16/2025
Inactive	Mandato, Claudia	607870	Agent - Property	7/24/2018	7/16/2025
Active	Mandato, Claudia	607870	Surplus Lines Broker - Not Applicable	12/21/2020
Inactive	Moseley, Kama R	1184985	Agent - Casualty	7/28/2022	10/2/2024
Denied	Moseley, Kama R	1184985	Agent - Health
Denied	Moseley, Kama R	1184985	Agent - Life
Inactive	Moseley, Kama R	1184985	Agent - Property	7/28/2022	10/2/2024
Denied	Rasmussen, Jo Lynn	1135341	Agent - Casualty
Denied	Rasmussen, Jo Lynn	1135341	Agent - Property