DEPARTMENT OF INSURANCE
Affiliations
NameVERITA CSG, INC.DOIID547391NAIC NPN953553
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentProperty4/16/2002 3/31/2026
ActiveNon ResidentAgentCasualty4/16/2002 3/31/2026
ActiveNon ResidentSurplus Lines BrokerNot Applicable10/9/2014 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
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202603/31/2026   
Surplus Lines Broker01/15/202603/31/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
Inactive21st Century Centennial Insurance Company301840Agent - Casualty3/22/20069/24/2011
Inactive21st Century Centennial Insurance Company301840Agent - Property3/22/20069/24/2011
Inactive21st Century North America Insurance Company300884Agent - Casualty3/22/20069/24/2011
Inactive21st Century North America Insurance Company300884Agent - Property3/22/20069/24/2011
InactiveACE American Insurance Company300625Agent - Casualty3/27/20046/16/2025
InactiveACE American Insurance Company300625Agent - Property3/27/20046/16/2025
InactiveACE Fire Underwriters Insurance Company301679Agent - Casualty3/27/200410/19/2007
InactiveACE Fire Underwriters Insurance Company301679Agent - Property3/27/200410/19/2007
InactiveACE Property and Casualty Insurance Company300520Agent - Casualty3/27/20046/16/2025
InactiveACE Property and Casualty Insurance Company300520Agent - Property3/27/20046/16/2025
InactiveAGCS Marine Insurance Company300403Agent - Casualty9/15/20095/16/2011
InactiveAGCS Marine Insurance Company300403Agent - Property9/15/20095/16/2011
ActiveAXA XL Insurance Company Americas300979Agent - Casualty8/17/2009 
ActiveAXA XL Insurance Company Americas300979Agent - Property8/17/2009 
InactiveAmerican Economy Insurance Company300315Agent - Casualty12/9/20113/29/2024
InactiveAmerican Economy Insurance Company300315Agent - Property12/9/20113/29/2024
InactiveAmerican Family Home Insurance Company301817Agent - Casualty12/17/201210/13/2014
InactiveAmerican Family Home Insurance Company301817Agent - Property12/17/201210/13/2014
InactiveAmerican Fire and Casualty Company300567Agent - Casualty2/5/20153/29/2024
InactiveAmerican Fire and Casualty Company300567Agent - Property2/5/20153/29/2024
ActiveAmerican Home Assurance Company300246Agent - Casualty3/22/2006 
ActiveAmerican Home Assurance Company300246Agent - Property3/22/2006 
InactiveAmerican Interstate Insurance Company301092Agent - Casualty9/9/20116/13/2019
InactiveAmerican Interstate Insurance Company301092Agent - Property9/9/20116/13/2019
InactiveAmerican Modern Home Insurance Company300791Agent - Casualty6/9/20108/22/2012
InactiveAmerican Modern Home Insurance Company300791Agent - Property6/9/20108/22/2012
InactiveAmerican Modern Select Insurance Company581481Agent - Casualty12/17/201210/13/2014
InactiveAmerican Modern Select Insurance Company581481Agent - Property12/17/201210/13/2014
InactiveAmerican Southern Home Insurance Company626276Agent - Casualty12/17/201211/14/2021
InactiveAmerican Southern Home Insurance Company626276Agent - Property12/17/201211/14/2021
InactiveAmerican States Insurance Company301230Agent - Casualty12/9/20113/29/2024
InactiveAmerican States Insurance Company301230Agent - Property12/9/20113/29/2024
InactiveArch Insurance Company300688Agent - Casualty5/23/20111/16/2020
InactiveArch Insurance Company300688Agent - Property5/23/20111/16/2020
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Casualty7/1/200912/5/2013
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Property7/1/200912/5/2013
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Casualty7/1/200912/5/2013
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Property7/1/200912/5/2013
InactiveChicago Insurance Company300295Agent - Casualty9/15/20095/16/2011
InactiveChicago Insurance Company300295Agent - Property9/15/20095/16/2011
InactiveConsolidated Insurance Company300943Agent - Casualty2/5/201510/13/2022
InactiveConsolidated Insurance Company300943Agent - Property2/5/201510/13/2022
ActiveContinental Casualty Company301019Agent - Casualty4/30/2018 
ActiveContinental Casualty Company301019Agent - Property4/30/2018 
ActiveEmployers Insurance Company of Wausau301813Agent - Casualty3/27/2009 
ActiveEmployers Insurance Company of Wausau301813Agent - Property3/27/2009 
ActiveEndurance American Insurance Company724397Agent - Casualty6/11/2019 
ActiveEndurance Assurance Corporation670371Agent - Casualty6/11/2019 
InactiveFarmington Casualty Company301137Agent - Casualty7/1/200912/5/2013
InactiveFarmington Casualty Company301137Agent - Property7/1/200912/5/2013
ActiveFirst Liberty Insurance Corporation (The)301060Agent - Casualty3/27/2009 
ActiveFirst Liberty Insurance Corporation (The)301060Agent - Property3/27/2009 
ActiveGranite State Insurance Company300818Agent - Casualty3/12/2009 
ActiveGranite State Insurance Company300818Agent - Property3/12/2009 
InactiveHartford Accident and Indemnity Company301917Agent - Casualty12/11/200311/7/2008
InactiveHartford Accident and Indemnity Company301917Agent - Property12/11/200311/7/2008
InactiveHartford Casualty Insurance Company301332Agent - Casualty4/20/200912/7/2012
InactiveHartford Casualty Insurance Company301332Agent - Property4/20/200912/7/2012
InactiveHartford Fire Insurance Company300628Agent - Casualty4/20/200912/7/2012
InactiveHartford Fire Insurance Company300628Agent - Property4/20/200912/7/2012
InactiveHartford Insurance Company of the Midwest301918Agent - Casualty12/11/200311/7/2008
InactiveHartford Insurance Company of the Midwest301918Agent - Property12/11/200311/7/2008
InactiveHartford Underwriters Insurance Company301064Agent - Casualty12/11/200311/7/2008
InactiveHartford Underwriters Insurance Company301064Agent - Property12/11/200311/7/2008
ActiveIllinois National Insurance Company301367Agent - Casualty3/12/2009 
ActiveIllinois National Insurance Company301367Agent - Property3/12/2009 
InactiveIndemnity Insurance Company of North America301760Agent - Casualty9/8/20046/16/2025
InactiveIndemnity Insurance Company of North America301760Agent - Property9/8/20046/16/2025
InactiveIndiana Insurance Company301909Agent - Casualty2/5/20152/3/2023
InactiveIndiana Insurance Company301909Agent - Property2/5/20152/3/2023
ActiveLM Insurance Corporation301061Agent - Casualty3/27/2009 
ActiveLM Insurance Corporation301061Agent - Property3/27/2009 
ActiveLexon Insurance Company300352Agent - Casualty6/11/2019 
ActiveLiberty Insurance Corporation300444Agent - Casualty3/27/2009 
ActiveLiberty Insurance Corporation300444Agent - Property3/27/2009 
ActiveLiberty Mutual Fire Insurance Company301913Agent - Casualty3/27/2009 
ActiveLiberty Mutual Fire Insurance Company301913Agent - Property3/27/2009 
ActiveLiberty Mutual Insurance Company301159Agent - Casualty3/27/2009 
ActiveLiberty Mutual Insurance Company301159Agent - Property3/27/2009 
ActiveNational Casualty Company301483Agent - Casualty5/28/2009 
ActiveNational Casualty Company301483Agent - Property5/28/2009 
ActiveNational Specialty Insurance Company300993Agent - Casualty10/23/2023 
ActiveNational Specialty Insurance Company300993Agent - Property10/23/2023 
ActiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Casualty10/2/2015 
ActiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Property10/2/2015 
InactiveNetherlands Insurance Company (The)300339Agent - Casualty2/5/20155/10/2024
InactiveNetherlands Insurance Company (The)300339Agent - Property2/5/20155/10/2024
ActiveNew Hampshire Insurance Company301670Agent - Casualty3/12/2009 
ActiveNew Hampshire Insurance Company301670Agent - Property3/12/2009 
InactiveOhio Casualty Insurance Company301492Agent - Casualty2/5/20153/29/2024
InactiveOhio Casualty Insurance Company301492Agent - Property2/5/20153/29/2024
InactiveOhio Security Insurance Company300622Agent - Casualty2/5/20153/29/2024
InactiveOhio Security Insurance Company300622Agent - Property2/5/20153/29/2024
InactivePeerless Indemnity Insurance Company571682Agent - Casualty2/5/20159/26/2024
InactivePeerless Indemnity Insurance Company571682Agent - Property2/5/20159/26/2024
InactivePeerless Insurance Company301910Agent - Casualty2/5/20155/8/2025
InactivePeerless Insurance Company301910Agent - Property2/5/20155/8/2025
InactivePraetorian Insurance Company301021Agent - Casualty11/1/20164/6/2021
InactivePraetorian Insurance Company301021Agent - Property11/1/20164/6/2021
InactiveProgressive Casualty Insurance Company300696Agent - Casualty3/24/20046/12/2010
InactiveProgressive Casualty Insurance Company300696Agent - Property3/24/20046/12/2010
InactiveProgressive Northern Insurance Company301378Agent - Casualty9/5/20026/12/2010
InactiveProgressive Northern Insurance Company301378Agent - Property9/5/20026/12/2010
ActiveQBE Insurance Corporation300515Agent - Casualty11/1/2016 
ActiveQBE Insurance Corporation300515Agent - Property11/1/2016 
ActiveScottsdale Indemnity Company300232Agent - Casualty5/28/2009 
ActiveScottsdale Indemnity Company300232Agent - Property5/28/2009 
InactiveSecurity National Insurance Company301151Agent - Casualty2/23/201611/15/2021
InactiveSecurity National Insurance Company301151Agent - Property2/23/201611/15/2021
ActiveSeneca Insurance Company Inc.301762Agent - Casualty4/5/2019 
ActiveSeneca Insurance Company Inc.301762Agent - Property4/5/2019 
InactiveSt. Paul Fire and Marine Insurance Company300782Agent - Casualty12/7/200412/5/2013
InactiveSt. Paul Fire and Marine Insurance Company300782Agent - Property12/7/200412/5/2013
InactiveSt. Paul Guardian Insurance Company301372Agent - Casualty7/1/200912/5/2013
InactiveSt. Paul Guardian Insurance Company301372Agent - Property7/1/200912/5/2013
InactiveSt. Paul Mercury Insurance Company300783Agent - Casualty7/1/200912/5/2013
InactiveSt. Paul Mercury Insurance Company300783Agent - Property7/1/200912/5/2013
InactiveStandard Fire Insurance Company (The)301068Agent - Casualty7/1/200912/5/2013
InactiveStandard Fire Insurance Company (The)301068Agent - Property7/1/200912/5/2013
ActiveState National Insurance Company, Inc.300888Agent - Casualty11/12/2024 
ActiveState National Insurance Company, Inc.300888Agent - Property11/12/2024 
InactiveTechnology Insurance Company613278Agent - Casualty2/23/201611/15/2021
InactiveTechnology Insurance Company613278Agent - Property2/23/201611/15/2021
InactiveThe Phoenix Insurance Company301502Agent - Casualty7/1/200912/5/2013
InactiveThe Phoenix Insurance Company301502Agent - Property7/1/200912/5/2013
InactiveTravelers Casualty Insurance Company of America300522Agent - Casualty7/1/200912/5/2013
InactiveTravelers Casualty Insurance Company of America300522Agent - Property7/1/200912/5/2013
InactiveTravelers Casualty and Surety Company301067Agent - Casualty7/1/200912/5/2013
InactiveTravelers Casualty and Surety Company301067Agent - Property7/1/200912/5/2013
InactiveTravelers Casualty and Surety Company of America301334Agent - Casualty8/4/200812/5/2013
InactiveTravelers Casualty and Surety Company of America301334Agent - Property8/4/200812/5/2013
InactiveTravelers Commercial Insurance Company301506Agent - Casualty7/1/200912/5/2013
InactiveTravelers Commercial Insurance Company301506Agent - Property7/1/200912/5/2013
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Casualty7/1/200912/5/2013
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Property7/1/200912/5/2013
InactiveTravelers Indemnity Company (The)301855Agent - Casualty7/1/200912/5/2013
InactiveTravelers Indemnity Company (The)301855Agent - Property7/1/200912/5/2013
InactiveTravelers Indemnity Company of America (The)301093Agent - Casualty7/1/200912/5/2013
InactiveTravelers Indemnity Company of America (The)301093Agent - Property7/1/200912/5/2013
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Casualty7/1/200912/5/2013
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Property7/1/200912/5/2013
InactiveTravelers Property Casualty Company of America301649Agent - Casualty7/1/200912/9/2019
InactiveTravelers Property Casualty Company of America301649Agent - Property7/1/200912/9/2019
InactiveTwin City Fire Insurance Company300721Agent - Casualty12/11/200311/7/2008
InactiveTwin City Fire Insurance Company300721Agent - Property12/11/200311/7/2008
InactiveUnited Financial Casualty Company301886Agent - Casualty3/14/20066/12/2010
InactiveUnited Financial Casualty Company301886Agent - Property3/14/20066/12/2010
ActiveUnited States Fire Insurance Company582240Agent - Casualty4/4/2019 
ActiveUnited States Fire Insurance Company582240Agent - Property4/4/2019 
InactiveWausau Business Insurance Company301476Agent - Casualty3/27/20093/30/2015
InactiveWausau Business Insurance Company301476Agent - Property3/27/20093/30/2015
InactiveWausau Underwriters Insurance Company301105Agent - Casualty3/27/20095/9/2024
InactiveWausau Underwriters Insurance Company301105Agent - Property3/27/20095/9/2024
InactiveWesco Insurance Company300534Agent - Casualty2/23/201611/15/2021
InactiveWesco Insurance Company300534Agent - Property2/23/201611/15/2021
InactiveWest American Insurance Company301112Agent - Casualty2/5/20153/29/2024
InactiveWest American Insurance Company301112Agent - Property2/5/20153/29/2024
InactiveWestchester Fire Insurance Company301414Agent - Casualty9/8/20041/1/2011
InactiveWestchester Fire Insurance Company300990Agent - Casualty1/1/20116/16/2025
InactiveWestchester Fire Insurance Company301414Agent - Property9/8/20041/1/2011
InactiveWestchester Fire Insurance Company300990Agent - Property1/1/20116/16/2025
ActiveXL Insurance America, Inc.300182Agent - Casualty7/29/2015 
ActiveXL Insurance America, Inc.300182Agent - Property7/29/2015 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAdams, Roger C 616366Agent - Casualty5/11/20094/30/2015
InactiveAdams, Roger C 616366Agent - Property5/11/20094/30/2015
InactiveChase, Brooks W 308108Agent - Casualty4/16/20023/1/2004
InactiveChase, Brooks W 308108Agent - Property4/16/20023/1/2004
ActiveChiang, Edward 1248472Agent - Casualty1/12/2023 
ActiveChiang, Edward 1248472Agent - Property1/12/2023 
ActiveChiang, Edward 1248472Surplus Lines Broker - Not Applicable1/31/2023 
ActiveCorrigan, Linda Lee 541769Agent - Casualty12/7/2015 
ActiveCorrigan, Linda Lee 541769Agent - Property12/7/2015 
InactiveCorrigan, Linda Lee 541769Surplus Lines Broker - Not Applicable11/18/20158/5/2020
InactiveCroteau, Nicole 654354Agent - Casualty3/27/20097/25/2011
InactiveCroteau, Nicole 654354Agent - Property3/27/20097/25/2011
ActiveDockery, Jason 934431Agent - Casualty8/21/2023 
ActiveDockery, Jason 934431Agent - Property8/21/2023 
ActiveDockery, Jason 934431Surplus Lines Broker - Not Applicable8/21/2023 
ActiveEnriquez, Nilo 1391754Agent - Casualty7/14/2025 
ActiveEnriquez, Nilo 1391754Agent - Property7/14/2025 
ActiveGonzales, Shaun Kerwin 1396469Agent - Casualty6/25/2025 
ActiveGonzales, Shaun Kerwin 1396469Agent - Property6/25/2025 
ActiveGonzales, Shaun Kerwin 1396469Surplus Lines Broker - Not Applicable6/25/2025 
InactiveHampson, David George 583788Agent - Casualty3/1/20046/8/2011
InactiveHampson, David George 583788Agent - Property3/1/20047/25/2011
InactiveHarvey, Jeffrey D 907624Agent - Casualty3/8/20162/6/2018
InactiveHarvey, Jeffrey D 907624Agent - Property3/8/20162/6/2018
InactiveHolt, Robert D 701164Agent - Casualty4/16/20097/25/2011
InactiveHolt, Robert D 701164Agent - Property4/16/20097/25/2011
InactiveHull, Christopher Scott 610513Agent - Casualty6/26/20202/2/2023
InactiveHull, Christopher Scott 610513Agent - Property6/26/20202/2/2023
InactiveHull, Christopher Scott 610513Surplus Lines Broker - Not Applicable6/26/20202/2/2023
InactiveKelley, James Andrew 853604Agent - Casualty6/24/20223/13/2024
InactiveKelley, James Andrew 853604Agent - Property6/24/20223/13/2024
InactiveKelley, James Andrew 853604Surplus Lines Broker - Not Applicable10/9/20142/8/2018
InactiveKhoury, Margaret E 561201Agent - Casualty3/13/20092/10/2016
InactiveKhoury, Margaret E 561201Agent - Property3/13/20092/10/2016
InactiveMcdowell, Larry Keith 707511Agent - Casualty7/15/20099/21/2015
InactiveMcdowell, Larry Keith 707511Agent - Property7/15/20099/21/2015
InactiveMcnally, Monica M 616382Agent - Casualty3/13/200912/30/2014
InactiveMcnally, Monica M 616382Agent - Property3/13/200912/30/2014
InactiveSacco, Stephanie 887331Agent - Casualty11/18/20154/20/2017
InactiveSacco, Stephanie 887331Agent - Property11/18/20154/20/2017
InactiveSullivan, Kevin 948860Agent - Casualty4/18/20173/3/2023
InactiveSullivan, Kevin 948860Agent - Property4/18/20173/3/2023
InactiveSullivan, Timothy 640656Agent - Casualty3/13/20097/25/2011
InactiveSullivan, Timothy 640656Agent - Property3/13/20097/25/2011
InactiveVan Wert, Stephen S 622772Agent - Casualty8/31/20098/3/2016
InactiveVan Wert, Stephen S 622772Agent - Property8/31/20098/3/2016
ActiveWestwood, Jennifer 1356868Agent - Casualty10/17/2024 
ActiveWestwood, Jennifer 1356868Agent - Property10/17/2024 

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