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DEPARTMENT OF INSURANCE
Affiliations
Name
VERITA CSG, INC.
DOIID
547391
NAIC NPN
953553
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Non Resident
Agent
Property
4/16/2002
3/31/2026
Active
Non Resident
Agent
Casualty
4/16/2002
3/31/2026
Active
Non Resident
Surplus Lines Broker
Not Applicable
10/9/2014
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
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
Inactive
21st Century Centennial Insurance Company
301840
Agent - Casualty
3/22/2006
9/24/2011
Inactive
21st Century Centennial Insurance Company
301840
Agent - Property
3/22/2006
9/24/2011
Inactive
21st Century North America Insurance Company
300884
Agent - Casualty
3/22/2006
9/24/2011
Inactive
21st Century North America Insurance Company
300884
Agent - Property
3/22/2006
9/24/2011
Inactive
ACE American Insurance Company
300625
Agent - Casualty
3/27/2004
6/16/2025
Inactive
ACE American Insurance Company
300625
Agent - Property
3/27/2004
6/16/2025
Inactive
ACE Fire Underwriters Insurance Company
301679
Agent - Casualty
3/27/2004
10/19/2007
Inactive
ACE Fire Underwriters Insurance Company
301679
Agent - Property
3/27/2004
10/19/2007
Inactive
ACE Property and Casualty Insurance Company
300520
Agent - Casualty
3/27/2004
6/16/2025
Inactive
ACE Property and Casualty Insurance Company
300520
Agent - Property
3/27/2004
6/16/2025
Inactive
AGCS Marine Insurance Company
300403
Agent - Casualty
9/15/2009
5/16/2011
Inactive
AGCS Marine Insurance Company
300403
Agent - Property
9/15/2009
5/16/2011
Active
AXA XL Insurance Company Americas
300979
Agent - Casualty
8/17/2009
Active
AXA XL Insurance Company Americas
300979
Agent - Property
8/17/2009
Inactive
American Economy Insurance Company
300315
Agent - Casualty
12/9/2011
3/29/2024
Inactive
American Economy Insurance Company
300315
Agent - Property
12/9/2011
3/29/2024
Inactive
American Family Home Insurance Company
301817
Agent - Casualty
12/17/2012
10/13/2014
Inactive
American Family Home Insurance Company
301817
Agent - Property
12/17/2012
10/13/2014
Inactive
American Fire and Casualty Company
300567
Agent - Casualty
2/5/2015
3/29/2024
Inactive
American Fire and Casualty Company
300567
Agent - Property
2/5/2015
3/29/2024
Active
American Home Assurance Company
300246
Agent - Casualty
3/22/2006
Active
American Home Assurance Company
300246
Agent - Property
3/22/2006
Inactive
American Interstate Insurance Company
301092
Agent - Casualty
9/9/2011
6/13/2019
Inactive
American Interstate Insurance Company
301092
Agent - Property
9/9/2011
6/13/2019
Inactive
American Modern Home Insurance Company
300791
Agent - Casualty
6/9/2010
8/22/2012
Inactive
American Modern Home Insurance Company
300791
Agent - Property
6/9/2010
8/22/2012
Inactive
American Modern Select Insurance Company
581481
Agent - Casualty
12/17/2012
10/13/2014
Inactive
American Modern Select Insurance Company
581481
Agent - Property
12/17/2012
10/13/2014
Inactive
American Southern Home Insurance Company
626276
Agent - Casualty
12/17/2012
11/14/2021
Inactive
American Southern Home Insurance Company
626276
Agent - Property
12/17/2012
11/14/2021
Inactive
American States Insurance Company
301230
Agent - Casualty
12/9/2011
3/29/2024
Inactive
American States Insurance Company
301230
Agent - Property
12/9/2011
3/29/2024
Inactive
Arch Insurance Company
300688
Agent - Casualty
5/23/2011
1/16/2020
Inactive
Arch Insurance Company
300688
Agent - Property
5/23/2011
1/16/2020
Inactive
Automobile Insurance Company of Hartford, Connecticut
300630
Agent - Casualty
7/1/2009
12/5/2013
Inactive
Automobile Insurance Company of Hartford, Connecticut
300630
Agent - Property
7/1/2009
12/5/2013
Inactive
Charter Oak Fire Insurance Company (The)
301501
Agent - Casualty
7/1/2009
12/5/2013
Inactive
Charter Oak Fire Insurance Company (The)
301501
Agent - Property
7/1/2009
12/5/2013
Inactive
Chicago Insurance Company
300295
Agent - Casualty
9/15/2009
5/16/2011
Inactive
Chicago Insurance Company
300295
Agent - Property
9/15/2009
5/16/2011
Inactive
Consolidated Insurance Company
300943
Agent - Casualty
2/5/2015
10/13/2022
Inactive
Consolidated Insurance Company
300943
Agent - Property
2/5/2015
10/13/2022
Active
Continental Casualty Company
301019
Agent - Casualty
4/30/2018
Active
Continental Casualty Company
301019
Agent - Property
4/30/2018
Active
Employers Insurance Company of Wausau
301813
Agent - Casualty
3/27/2009
Active
Employers Insurance Company of Wausau
301813
Agent - Property
3/27/2009
Active
Endurance American Insurance Company
724397
Agent - Casualty
6/11/2019
Active
Endurance Assurance Corporation
670371
Agent - Casualty
6/11/2019
Inactive
Farmington Casualty Company
301137
Agent - Casualty
7/1/2009
12/5/2013
Inactive
Farmington Casualty Company
301137
Agent - Property
7/1/2009
12/5/2013
Active
First Liberty Insurance Corporation (The)
301060
Agent - Casualty
3/27/2009
Active
First Liberty Insurance Corporation (The)
301060
Agent - Property
3/27/2009
Active
Granite State Insurance Company
300818
Agent - Casualty
3/12/2009
Active
Granite State Insurance Company
300818
Agent - Property
3/12/2009
Inactive
Hartford Accident and Indemnity Company
301917
Agent - Casualty
12/11/2003
11/7/2008
Inactive
Hartford Accident and Indemnity Company
301917
Agent - Property
12/11/2003
11/7/2008
Inactive
Hartford Casualty Insurance Company
301332
Agent - Casualty
4/20/2009
12/7/2012
Inactive
Hartford Casualty Insurance Company
301332
Agent - Property
4/20/2009
12/7/2012
Inactive
Hartford Fire Insurance Company
300628
Agent - Casualty
4/20/2009
12/7/2012
Inactive
Hartford Fire Insurance Company
300628
Agent - Property
4/20/2009
12/7/2012
Inactive
Hartford Insurance Company of the Midwest
301918
Agent - Casualty
12/11/2003
11/7/2008
Inactive
Hartford Insurance Company of the Midwest
301918
Agent - Property
12/11/2003
11/7/2008
Inactive
Hartford Underwriters Insurance Company
301064
Agent - Casualty
12/11/2003
11/7/2008
Inactive
Hartford Underwriters Insurance Company
301064
Agent - Property
12/11/2003
11/7/2008
Active
Illinois National Insurance Company
301367
Agent - Casualty
3/12/2009
Active
Illinois National Insurance Company
301367
Agent - Property
3/12/2009
Inactive
Indemnity Insurance Company of North America
301760
Agent - Casualty
9/8/2004
6/16/2025
Inactive
Indemnity Insurance Company of North America
301760
Agent - Property
9/8/2004
6/16/2025
Inactive
Indiana Insurance Company
301909
Agent - Casualty
2/5/2015
2/3/2023
Inactive
Indiana Insurance Company
301909
Agent - Property
2/5/2015
2/3/2023
Active
LM Insurance Corporation
301061
Agent - Casualty
3/27/2009
Active
LM Insurance Corporation
301061
Agent - Property
3/27/2009
Active
Lexon Insurance Company
300352
Agent - Casualty
6/11/2019
Active
Liberty Insurance Corporation
300444
Agent - Casualty
3/27/2009
Active
Liberty Insurance Corporation
300444
Agent - Property
3/27/2009
Active
Liberty Mutual Fire Insurance Company
301913
Agent - Casualty
3/27/2009
Active
Liberty Mutual Fire Insurance Company
301913
Agent - Property
3/27/2009
Active
Liberty Mutual Insurance Company
301159
Agent - Casualty
3/27/2009
Active
Liberty Mutual Insurance Company
301159
Agent - Property
3/27/2009
Active
National Casualty Company
301483
Agent - Casualty
5/28/2009
Active
National Casualty Company
301483
Agent - Property
5/28/2009
Active
National Specialty Insurance Company
300993
Agent - Casualty
10/23/2023
Active
National Specialty Insurance Company
300993
Agent - Property
10/23/2023
Active
National Union Fire Insurance Company of Pittsburgh, Pennsylvania
300959
Agent - Casualty
10/2/2015
Active
National Union Fire Insurance Company of Pittsburgh, Pennsylvania
300959
Agent - Property
10/2/2015
Inactive
Netherlands Insurance Company (The)
300339
Agent - Casualty
2/5/2015
5/10/2024
Inactive
Netherlands Insurance Company (The)
300339
Agent - Property
2/5/2015
5/10/2024
Active
New Hampshire Insurance Company
301670
Agent - Casualty
3/12/2009
Active
New Hampshire Insurance Company
301670
Agent - Property
3/12/2009
Inactive
Ohio Casualty Insurance Company
301492
Agent - Casualty
2/5/2015
3/29/2024
Inactive
Ohio Casualty Insurance Company
301492
Agent - Property
2/5/2015
3/29/2024
Inactive
Ohio Security Insurance Company
300622
Agent - Casualty
2/5/2015
3/29/2024
Inactive
Ohio Security Insurance Company
300622
Agent - Property
2/5/2015
3/29/2024
Inactive
Peerless Indemnity Insurance Company
571682
Agent - Casualty
2/5/2015
9/26/2024
Inactive
Peerless Indemnity Insurance Company
571682
Agent - Property
2/5/2015
9/26/2024
Inactive
Peerless Insurance Company
301910
Agent - Casualty
2/5/2015
5/8/2025
Inactive
Peerless Insurance Company
301910
Agent - Property
2/5/2015
5/8/2025
Inactive
Praetorian Insurance Company
301021
Agent - Casualty
11/1/2016
4/6/2021
Inactive
Praetorian Insurance Company
301021
Agent - Property
11/1/2016
4/6/2021
Inactive
Progressive Casualty Insurance Company
300696
Agent - Casualty
3/24/2004
6/12/2010
Inactive
Progressive Casualty Insurance Company
300696
Agent - Property
3/24/2004
6/12/2010
Inactive
Progressive Northern Insurance Company
301378
Agent - Casualty
9/5/2002
6/12/2010
Inactive
Progressive Northern Insurance Company
301378
Agent - Property
9/5/2002
6/12/2010
Active
QBE Insurance Corporation
300515
Agent - Casualty
11/1/2016
Active
QBE Insurance Corporation
300515
Agent - Property
11/1/2016
Active
Scottsdale Indemnity Company
300232
Agent - Casualty
5/28/2009
Active
Scottsdale Indemnity Company
300232
Agent - Property
5/28/2009
Inactive
Security National Insurance Company
301151
Agent - Casualty
2/23/2016
11/15/2021
Inactive
Security National Insurance Company
301151
Agent - Property
2/23/2016
11/15/2021
Active
Seneca Insurance Company Inc.
301762
Agent - Casualty
4/5/2019
Active
Seneca Insurance Company Inc.
301762
Agent - Property
4/5/2019
Inactive
St. Paul Fire and Marine Insurance Company
300782
Agent - Casualty
12/7/2004
12/5/2013
Inactive
St. Paul Fire and Marine Insurance Company
300782
Agent - Property
12/7/2004
12/5/2013
Inactive
St. Paul Guardian Insurance Company
301372
Agent - Casualty
7/1/2009
12/5/2013
Inactive
St. Paul Guardian Insurance Company
301372
Agent - Property
7/1/2009
12/5/2013
Inactive
St. Paul Mercury Insurance Company
300783
Agent - Casualty
7/1/2009
12/5/2013
Inactive
St. Paul Mercury Insurance Company
300783
Agent - Property
7/1/2009
12/5/2013
Inactive
Standard Fire Insurance Company (The)
301068
Agent - Casualty
7/1/2009
12/5/2013
Inactive
Standard Fire Insurance Company (The)
301068
Agent - Property
7/1/2009
12/5/2013
Active
State National Insurance Company, Inc.
300888
Agent - Casualty
11/12/2024
Active
State National Insurance Company, Inc.
300888
Agent - Property
11/12/2024
Inactive
Technology Insurance Company
613278
Agent - Casualty
2/23/2016
11/15/2021
Inactive
Technology Insurance Company
613278
Agent - Property
2/23/2016
11/15/2021
Inactive
The Phoenix Insurance Company
301502
Agent - Casualty
7/1/2009
12/5/2013
Inactive
The Phoenix Insurance Company
301502
Agent - Property
7/1/2009
12/5/2013
Inactive
Travelers Casualty Insurance Company of America
300522
Agent - Casualty
7/1/2009
12/5/2013
Inactive
Travelers Casualty Insurance Company of America
300522
Agent - Property
7/1/2009
12/5/2013
Inactive
Travelers Casualty and Surety Company
301067
Agent - Casualty
7/1/2009
12/5/2013
Inactive
Travelers Casualty and Surety Company
301067
Agent - Property
7/1/2009
12/5/2013
Inactive
Travelers Casualty and Surety Company of America
301334
Agent - Casualty
8/4/2008
12/5/2013
Inactive
Travelers Casualty and Surety Company of America
301334
Agent - Property
8/4/2008
12/5/2013
Inactive
Travelers Commercial Insurance Company
301506
Agent - Casualty
7/1/2009
12/5/2013
Inactive
Travelers Commercial Insurance Company
301506
Agent - Property
7/1/2009
12/5/2013
Inactive
Travelers Home and Marine Insurance Company (The)
301802
Agent - Casualty
7/1/2009
12/5/2013
Inactive
Travelers Home and Marine Insurance Company (The)
301802
Agent - Property
7/1/2009
12/5/2013
Inactive
Travelers Indemnity Company (The)
301855
Agent - Casualty
7/1/2009
12/5/2013
Inactive
Travelers Indemnity Company (The)
301855
Agent - Property
7/1/2009
12/5/2013
Inactive
Travelers Indemnity Company of America (The)
301093
Agent - Casualty
7/1/2009
12/5/2013
Inactive
Travelers Indemnity Company of America (The)
301093
Agent - Property
7/1/2009
12/5/2013
Inactive
Travelers Indemnity Company of Connecticut (The)
301591
Agent - Casualty
7/1/2009
12/5/2013
Inactive
Travelers Indemnity Company of Connecticut (The)
301591
Agent - Property
7/1/2009
12/5/2013
Inactive
Travelers Property Casualty Company of America
301649
Agent - Casualty
7/1/2009
12/9/2019
Inactive
Travelers Property Casualty Company of America
301649
Agent - Property
7/1/2009
12/9/2019
Inactive
Twin City Fire Insurance Company
300721
Agent - Casualty
12/11/2003
11/7/2008
Inactive
Twin City Fire Insurance Company
300721
Agent - Property
12/11/2003
11/7/2008
Inactive
United Financial Casualty Company
301886
Agent - Casualty
3/14/2006
6/12/2010
Inactive
United Financial Casualty Company
301886
Agent - Property
3/14/2006
6/12/2010
Active
United States Fire Insurance Company
582240
Agent - Casualty
4/4/2019
Active
United States Fire Insurance Company
582240
Agent - Property
4/4/2019
Inactive
Wausau Business Insurance Company
301476
Agent - Casualty
3/27/2009
3/30/2015
Inactive
Wausau Business Insurance Company
301476
Agent - Property
3/27/2009
3/30/2015
Inactive
Wausau Underwriters Insurance Company
301105
Agent - Casualty
3/27/2009
5/9/2024
Inactive
Wausau Underwriters Insurance Company
301105
Agent - Property
3/27/2009
5/9/2024
Inactive
Wesco Insurance Company
300534
Agent - Casualty
2/23/2016
11/15/2021
Inactive
Wesco Insurance Company
300534
Agent - Property
2/23/2016
11/15/2021
Inactive
West American Insurance Company
301112
Agent - Casualty
2/5/2015
3/29/2024
Inactive
West American Insurance Company
301112
Agent - Property
2/5/2015
3/29/2024
Inactive
Westchester Fire Insurance Company
301414
Agent - Casualty
9/8/2004
1/1/2011
Inactive
Westchester Fire Insurance Company
300990
Agent - Casualty
1/1/2011
6/16/2025
Inactive
Westchester Fire Insurance Company
301414
Agent - Property
9/8/2004
1/1/2011
Inactive
Westchester Fire Insurance Company
300990
Agent - Property
1/1/2011
6/16/2025
Active
XL Insurance America, Inc.
300182
Agent - Casualty
7/29/2015
Active
XL Insurance America, Inc.
300182
Agent - Property
7/29/2015
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Adams, Roger C
616366
Agent - Casualty
5/11/2009
4/30/2015
Inactive
Adams, Roger C
616366
Agent - Property
5/11/2009
4/30/2015
Inactive
Chase, Brooks W
308108
Agent - Casualty
4/16/2002
3/1/2004
Inactive
Chase, Brooks W
308108
Agent - Property
4/16/2002
3/1/2004
Active
Chiang, Edward
1248472
Agent - Casualty
1/12/2023
Active
Chiang, Edward
1248472
Agent - Property
1/12/2023
Active
Chiang, Edward
1248472
Surplus Lines Broker - Not Applicable
1/31/2023
Active
Corrigan, Linda Lee
541769
Agent - Casualty
12/7/2015
Active
Corrigan, Linda Lee
541769
Agent - Property
12/7/2015
Inactive
Corrigan, Linda Lee
541769
Surplus Lines Broker - Not Applicable
11/18/2015
8/5/2020
Inactive
Croteau, Nicole
654354
Agent - Casualty
3/27/2009
7/25/2011
Inactive
Croteau, Nicole
654354
Agent - Property
3/27/2009
7/25/2011
Active
Dockery, Jason
934431
Agent - Casualty
8/21/2023
Active
Dockery, Jason
934431
Agent - Property
8/21/2023
Active
Dockery, Jason
934431
Surplus Lines Broker - Not Applicable
8/21/2023
Active
Enriquez, Nilo
1391754
Agent - Casualty
7/14/2025
Active
Enriquez, Nilo
1391754
Agent - Property
7/14/2025
Active
Gonzales, Shaun Kerwin
1396469
Agent - Casualty
6/25/2025
Active
Gonzales, Shaun Kerwin
1396469
Agent - Property
6/25/2025
Active
Gonzales, Shaun Kerwin
1396469
Surplus Lines Broker - Not Applicable
6/25/2025
Inactive
Hampson, David George
583788
Agent - Casualty
3/1/2004
6/8/2011
Inactive
Hampson, David George
583788
Agent - Property
3/1/2004
7/25/2011
Inactive
Harvey, Jeffrey D
907624
Agent - Casualty
3/8/2016
2/6/2018
Inactive
Harvey, Jeffrey D
907624
Agent - Property
3/8/2016
2/6/2018
Inactive
Holt, Robert D
701164
Agent - Casualty
4/16/2009
7/25/2011
Inactive
Holt, Robert D
701164
Agent - Property
4/16/2009
7/25/2011
Inactive
Hull, Christopher Scott
610513
Agent - Casualty
6/26/2020
2/2/2023
Inactive
Hull, Christopher Scott
610513
Agent - Property
6/26/2020
2/2/2023
Inactive
Hull, Christopher Scott
610513
Surplus Lines Broker - Not Applicable
6/26/2020
2/2/2023
Inactive
Kelley, James Andrew
853604
Agent - Casualty
6/24/2022
3/13/2024
Inactive
Kelley, James Andrew
853604
Agent - Property
6/24/2022
3/13/2024
Inactive
Kelley, James Andrew
853604
Surplus Lines Broker - Not Applicable
10/9/2014
2/8/2018
Inactive
Khoury, Margaret E
561201
Agent - Casualty
3/13/2009
2/10/2016
Inactive
Khoury, Margaret E
561201
Agent - Property
3/13/2009
2/10/2016
Inactive
Mcdowell, Larry Keith
707511
Agent - Casualty
7/15/2009
9/21/2015
Inactive
Mcdowell, Larry Keith
707511
Agent - Property
7/15/2009
9/21/2015
Inactive
Mcnally, Monica M
616382
Agent - Casualty
3/13/2009
12/30/2014
Inactive
Mcnally, Monica M
616382
Agent - Property
3/13/2009
12/30/2014
Inactive
Sacco, Stephanie
887331
Agent - Casualty
11/18/2015
4/20/2017
Inactive
Sacco, Stephanie
887331
Agent - Property
11/18/2015
4/20/2017
Inactive
Sullivan, Kevin
948860
Agent - Casualty
4/18/2017
3/3/2023
Inactive
Sullivan, Kevin
948860
Agent - Property
4/18/2017
3/3/2023
Inactive
Sullivan, Timothy
640656
Agent - Casualty
3/13/2009
7/25/2011
Inactive
Sullivan, Timothy
640656
Agent - Property
3/13/2009
7/25/2011
Inactive
Van Wert, Stephen S
622772
Agent - Casualty
8/31/2009
8/3/2016
Inactive
Van Wert, Stephen S
622772
Agent - Property
8/31/2009
8/3/2016
Active
Westwood, Jennifer
1356868
Agent - Casualty
10/17/2024
Active
Westwood, Jennifer
1356868
Agent - Property
10/17/2024
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