DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Convex North America Insurance Services LLC	DOIID	1154417	NAIC NPN	20031631

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	8/29/2024		3/31/2027
Active	Non Resident	Agent	Property	8/26/2021		3/31/2027
Active	Non Resident	Agent	Health	8/29/2024		3/31/2027
Active	Non Resident	Agent	Casualty	8/26/2021		3/31/2027
Active	Non Resident	Independent Adjuster	Property & Casualty	8/29/2024		3/31/2027
Active	Non Resident	Surplus Lines Broker	Not Applicable	8/26/2021		3/31/2027
* 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
Active	Accredited Surety and Casualty Company, Inc.	502744	Agent - Casualty	7/10/2025
Active	Accredited Surety and Casualty Company, Inc.	502744	Agent - Property	7/10/2025

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Bongi, Thomas Michael	1228088	Agent - Casualty
Denied	Bongi, Thomas Michael	1228088	Agent - Property
Active	Bongi, Thomas Michael	1228088	Surplus Lines Broker - Not Applicable	10/14/2022
Active	Chauvin, William Pierre	707831	Agent - Casualty	8/26/2021
Active	Chauvin, William Pierre	707831	Agent - Property	8/26/2021
Active	Chauvin, William Pierre	707831	Surplus Lines Broker - Not Applicable	8/26/2021
Active	Durany, Steven Neil	802223	Agent - Health	8/29/2024
Active	Durany, Steven Neil	802223	Agent - Life	8/29/2024
Active	Errico, Christina R	841300	Independent Adjuster - Property & Casualty	8/29/2024