DEPARTMENT OF INSURANCE
Affiliations
NameBellah, Madison RDOIID1282578NAIC NPN20515129
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
Pending ReplacementNon ResidentAgentProperty6/28/2023 7/31/2026
Pending ReplacementNon ResidentAgentCasualty6/28/2023 7/31/2026
Pending ReplacementNon ResidentSurplus Lines BrokerNot Applicable2/1/2024 7/31/2026
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
Pending ReplacementZurich American Insurance Company301121Agent - Casualty7/18/2023 
Pending ReplacementZurich American Insurance Company301121Agent - Property7/18/2023 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveWillis Towers Watson Northeast Inc537673Agent - Casualty7/27/20238/28/2025
InactiveWillis Towers Watson Northeast Inc537673Agent - Property7/27/20238/28/2025
InactiveWillis Towers Watson Northeast Inc537673Surplus Lines Broker - Not Applicable2/9/20248/28/2025

© Commonwealth of Kentucky. All rights reserved.