DEPARTMENT OF INSURANCE
Affiliations
NameSafehold Special Risk, IncDOIID658217NAIC NPN9142974
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentProperty6/20/200712/15/2025 
InactiveNon ResidentAgentHealth6/26/200912/15/2025 
InactiveNon ResidentAgentLife6/26/200912/15/2025 
InactiveNon ResidentAgentCasualty6/20/200712/15/2025 
InactiveNon ResidentIndependent AdjusterProperty & Casualty6/8/201112/15/2025 
InactiveNon ResidentIndependent AdjusterWorkers' Compensation6/8/201112/15/2025 
InactiveNon ResidentSurplus Lines BrokerNot Applicable4/3/20089/15/2025 
* 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
InactiveACE American Insurance Company300625Agent - Casualty6/30/201412/15/2025
InactiveACE American Insurance Company300625Agent - Health9/20/200912/15/2025
InactiveACE American Insurance Company300625Agent - Property6/30/201412/15/2025
InactiveACE Fire Underwriters Insurance Company301679Agent - Casualty6/30/201412/15/2025
InactiveACE Fire Underwriters Insurance Company301679Agent - Property6/30/201412/15/2025
InactiveACE Property and Casualty Insurance Company300520Agent - Casualty6/30/201412/15/2025
InactiveACE Property and Casualty Insurance Company300520Agent - Property6/30/201412/15/2025
InactiveAllmerica Financial Benefit Insurance Company301223Agent - Casualty6/28/20185/9/2025
InactiveAllmerica Financial Benefit Insurance Company301223Agent - Property6/28/20185/9/2025
InactiveAmTrust Insurance Company300179Agent - Casualty9/20/201712/15/2025
InactiveAmTrust Insurance Company300179Agent - Property9/20/201712/15/2025
InactiveAmerican Alternative Insurance Corporation301697Agent - Casualty1/22/201410/31/2016
InactiveAmerican Alternative Insurance Corporation301697Agent - Property1/22/201410/31/2016
InactiveAmerican Bankers Insurance Company of Florida300360Agent - Casualty3/4/201410/9/2015
InactiveAmerican Bankers Insurance Company of Florida300360Agent - Property3/4/201410/9/2015
InactiveAmerican Family Home Insurance Company301817Agent - Casualty1/22/20146/12/2015
InactiveAmerican Family Home Insurance Company301817Agent - Property1/22/20146/12/2015
InactiveAmerican Guarantee and Liability Insurance Company301216Agent - Casualty2/24/201012/15/2025
InactiveAmerican Guarantee and Liability Insurance Company301216Agent - Property2/24/201012/15/2025
InactiveAmerican Interstate Insurance Company301092Agent - Casualty11/8/201212/17/2025
InactiveAmerican Interstate Insurance Company301092Agent - Property11/8/201210/13/2025
InactiveAmerican Modern Home Insurance Company300791Agent - Casualty8/19/20146/12/2015
InactiveAmerican Modern Home Insurance Company300791Agent - Property8/19/20146/12/2015
InactiveAmerican Southern Home Insurance Company626276Agent - Casualty1/22/20146/12/2015
InactiveAmerican Southern Home Insurance Company626276Agent - Property1/22/20146/12/2015
InactiveAmerican Zurich Insurance Company300592Agent - Casualty6/11/200812/15/2025
InactiveAmerican Zurich Insurance Company300592Agent - Property6/11/200812/15/2025
InactiveArch Insurance Company300688Agent - Casualty3/30/20106/23/2025
InactiveArch Insurance Company300688Agent - Property3/30/20106/23/2025
InactiveArch Wilsure Insurance Company556753Agent - Casualty2/13/20191/31/2025
InactiveArch Wilsure Insurance Company556753Agent - Property2/13/20191/31/2025
InactiveAssurance Company of America300432Agent - Casualty6/11/200812/17/2014
InactiveAssurance Company of America300432Agent - Property6/11/200812/17/2014
InactiveBankers Standard Insurance Company301620Agent - Casualty6/30/20146/17/2025
InactiveBankers Standard Insurance Company301620Agent - Property6/30/20146/17/2025
InactiveBerkley Life and Health Insurance Company301421Agent - Health8/8/201812/15/2025
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Casualty10/21/201012/9/2013
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Property10/21/201012/9/2013
InactiveEmployers Assurance Company300120Agent - Casualty3/31/20221/3/2024
InactiveEmployers Compensation Insurance Company797885Agent - Casualty3/31/20221/3/2024
InactiveEmployers Preferred Insurance Company520656Agent - Casualty3/31/20221/3/2024
InactiveEverest Denali Insurance Company941054Agent - Casualty12/25/20201/30/2025
InactiveEverest Denali Insurance Company941054Agent - Property12/25/20201/30/2025
InactiveEverest National Insurance Company301319Agent - Casualty12/25/20201/30/2025
InactiveEverest National Insurance Company301319Agent - Property12/25/20201/30/2025
InactiveEverest Premier Insurance Company941053Agent - Casualty8/3/20211/30/2025
InactiveEverest Premier Insurance Company941053Agent - Property8/3/20211/30/2025
InactiveExecutive Risk Indemnity Inc.301510Agent - Casualty5/6/20246/17/2025
InactiveExecutive Risk Indemnity Inc.301510Agent - Property5/6/20246/17/2025
InactiveFarmington Casualty Company301137Agent - Casualty10/21/201012/9/2013
InactiveFarmington Casualty Company301137Agent - Property10/21/201012/9/2013
InactiveFederal Insurance Company301144Agent - Casualty5/6/20246/17/2025
InactiveFederal Insurance Company301144Agent - Health5/6/202412/15/2025
InactiveFederal Insurance Company301144Agent - Property5/6/20246/17/2025
InactiveGranite State Insurance Company300818Agent - Casualty9/25/20144/3/2025
InactiveGranite State Insurance Company300818Agent - Property9/25/20144/3/2025
InactiveGreat American Alliance Insurance Company301247Agent - Casualty6/19/20094/3/2025
InactiveGreat American Alliance Insurance Company301247Agent - Property6/19/20094/3/2025
InactiveGreat American Assurance Company300327Agent - Casualty6/19/20094/3/2025
InactiveGreat American Assurance Company300327Agent - Property6/19/20094/3/2025
InactiveGreat American Insurance Company301586Agent - Casualty6/19/20094/3/2025
InactiveGreat American Insurance Company301586Agent - Health10/19/20174/3/2025
InactiveGreat American Insurance Company301586Agent - Property6/19/20094/3/2025
InactiveGreat American Insurance Company of New York301897Agent - Casualty6/19/20094/3/2025
InactiveGreat American Insurance Company of New York301897Agent - Property6/19/20094/3/2025
InactiveGreat American Security Insurance Company301228Agent - Casualty9/10/20104/3/2025
InactiveGreat American Security Insurance Company301228Agent - Property9/10/20104/3/2025
InactiveHanover Insurance Company (The)300508Agent - Casualty6/28/20185/9/2025
InactiveHanover Insurance Company (The)300508Agent - Property6/28/20185/9/2025
InactiveHarleysville Mutual Insurance Company301393Agent - Casualty4/13/20099/29/2011
InactiveHarleysville Mutual Insurance Company301393Agent - Property4/13/20099/29/2011
InactiveHartford Accident and Indemnity Company301917Agent - Casualty10/11/202212/15/2025
InactiveHartford Accident and Indemnity Company301917Agent - Property10/11/202212/15/2025
InactiveHiscox Insurance Company Inc.300894Agent - Casualty2/5/201412/15/2025
InactiveHiscox Insurance Company Inc.300894Agent - Property2/5/201412/15/2025
InactiveIllinois National Insurance Company301367Agent - Casualty9/25/20144/3/2025
InactiveIllinois National Insurance Company301367Agent - Property9/26/20144/3/2025
InactiveIndemnity Insurance Company of North America301760Agent - Casualty6/30/201412/15/2025
InactiveIndemnity Insurance Company of North America301760Agent - Property6/30/201412/15/2025
InactiveLiberty Mutual Insurance Company301159Agent - Casualty11/14/201112/15/2025
InactiveManufacturers Alliance Insurance Company519940Agent - Casualty11/29/201612/15/2025
InactiveManufacturers Alliance Insurance Company519940Agent - Property11/29/201612/15/2025
InactiveMarkel American Insurance Company300377Agent - Casualty5/28/201512/15/2025
InactiveMarkel American Insurance Company300377Agent - Property5/28/201512/15/2025
InactiveMaryland Casualty Company301719Agent - Casualty6/11/200812/17/2014
InactiveMaryland Casualty Company301719Agent - Property6/11/200812/17/2014
InactiveMilford Casualty Insurance Company301460Agent - Casualty9/20/201712/15/2025
InactiveMilford Casualty Insurance Company301460Agent - Property9/20/201712/15/2025
InactiveNOVA Casualty Company622806Agent - Casualty4/30/20105/9/2025
InactiveNOVA Casualty Company622806Agent - Property4/30/20105/9/2025
InactiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Casualty12/1/20154/3/2025
InactiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Property12/1/20154/3/2025
InactiveNew Hampshire Insurance Company301670Agent - Casualty9/25/20144/3/2025
InactiveNew Hampshire Insurance Company301670Agent - Property9/25/20144/3/2025
InactiveNew York Marine and General Insurance Company301932Agent - Casualty10/17/20161/4/2023
InactiveNew York Marine and General Insurance Company301932Agent - Property10/17/20161/4/2023
InactiveNorthern Insurance Company of New York301317Agent - Casualty6/11/200812/17/2014
InactiveNorthern Insurance Company of New York301317Agent - Property6/11/200812/17/2014
InactivePacific Employers Insurance Company301753Agent - Casualty6/30/201412/15/2025
InactivePacific Employers Insurance Company301753Agent - Property6/30/201412/15/2025
InactivePark National Insurance Company692514Agent - Casualty9/20/20173/9/2025
InactivePark National Insurance Company692514Agent - Property9/20/20173/9/2025
InactivePennsylvania Manufacturers Association Insurance Company300228Agent - Casualty11/29/201612/15/2025
InactivePennsylvania Manufacturers Association Insurance Company300228Agent - Property11/29/201612/15/2025
InactivePennsylvania Manufacturers Indemnity Company519939Agent - Casualty11/29/201612/15/2025
InactivePennsylvania Manufacturers Indemnity Company519939Agent - Property11/29/201612/15/2025
InactivePhiladelphia Indemnity Insurance Company301221Agent - Casualty3/25/201912/15/2025
InactivePhiladelphia Indemnity Insurance Company301221Agent - Property3/25/201912/15/2025
InactiveRLI Insurance Company301217Agent - Casualty8/26/20229/19/2023
InactiveRLI Insurance Company301217Agent - Property8/26/20229/19/2023
InactiveRural Community Insurance Company301891Agent - Casualty4/20/20094/8/2017
InactiveRural Community Insurance Company301891Agent - Property4/20/20094/8/2017
InactiveSecurity National Insurance Company301151Agent - Casualty9/20/201712/15/2025
InactiveSecurity National Insurance Company301151Agent - Property9/20/201712/15/2025
InactiveSequoia Insurance Company628046Agent - Casualty5/5/202012/15/2025
InactiveSequoia Insurance Company628046Agent - Property5/5/202012/15/2025
InactiveStandard Fire Insurance Company (The)301068Agent - Casualty10/21/201012/9/2013
InactiveStandard Fire Insurance Company (The)301068Agent - Property10/21/201012/9/2013
InactiveStar Insurance Company301553Agent - Casualty3/14/20136/2/2014
InactiveStar Insurance Company301553Agent - Property3/14/20136/2/2014
InactiveStarNet Insurance Company502746Agent - Health8/8/201812/15/2025
InactiveStarr Indemnity and Liability Company301685Agent - Casualty7/19/202112/15/2025
InactiveStarr Indemnity and Liability Company301685Agent - Property7/19/202112/15/2025
InactiveTechnology Insurance Company613278Agent - Casualty9/20/201712/15/2025
InactiveTechnology Insurance Company613278Agent - Property9/20/201712/15/2025
InactiveThe Phoenix Insurance Company301502Agent - Casualty10/21/201012/9/2013
InactiveThe Phoenix Insurance Company301502Agent - Property10/21/201012/9/2013
InactiveTravelers Casualty Insurance Company of America300522Agent - Casualty10/21/201012/9/2013
InactiveTravelers Casualty Insurance Company of America300522Agent - Property10/21/201012/9/2013
InactiveTravelers Casualty and Surety Company301067Agent - Casualty10/21/201012/14/2016
InactiveTravelers Casualty and Surety Company301067Agent - Property10/21/201012/14/2016
InactiveTravelers Indemnity Company (The)301855Agent - Casualty10/21/201012/9/2013
InactiveTravelers Indemnity Company (The)301855Agent - Property10/21/201012/9/2013
InactiveTravelers Indemnity Company of America (The)301093Agent - Casualty10/21/201012/9/2013
InactiveTravelers Indemnity Company of America (The)301093Agent - Property10/21/201012/9/2013
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Casualty10/21/201012/9/2013
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Property10/21/201012/9/2013
InactiveTravelers Property Casualty Company of America301649Agent - Casualty10/21/201012/9/2013
InactiveTravelers Property Casualty Company of America301649Agent - Property10/21/201012/9/2013
InactiveTrusted Resource Underwriters Exchange of Ohio581481Agent - Casualty8/19/20146/12/2015
InactiveTrusted Resource Underwriters Exchange of Ohio581481Agent - Property8/19/20146/12/2015
InactiveWesco Insurance Company300534Agent - Casualty9/20/201712/15/2025
InactiveWesco Insurance Company300534Agent - Property9/20/201712/15/2025
InactiveWestchester Fire Insurance Company300990Agent - Casualty9/16/201512/15/2025
InactiveWestchester Fire Insurance Company300990Agent - Property9/16/201512/15/2025
InactiveZurich American Insurance Company301121Agent - Casualty2/24/201012/15/2025
InactiveZurich American Insurance Company301121Agent - Property2/24/201012/15/2025
InactiveZurich American Insurance Company of Illinois301805Agent - Casualty2/24/201012/15/2025
InactiveZurich American Insurance Company of Illinois301805Agent - Property2/24/201012/15/2025
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAgresti, Kathleen A 843687Independent Adjuster - Property & Casualty3/2/20176/7/2022
InactiveAnderson, Curtis T 728813Agent - Casualty11/13/20124/8/2013
InactiveAnderson, Curtis T 728813Agent - Property11/13/20124/8/2013
DeniedAnderson, Joshua Wayne 700587Agent - Casualty  
DeniedAnderson, Joshua Wayne 700587Agent - Property  
InactiveBaughn, Kevin J 726636Agent - Casualty9/21/20123/14/2017
InactiveBaughn, Kevin J 726636Agent - Property9/21/20123/14/2017
InactiveBecker, Thomas 558554Agent - Casualty5/12/20084/15/2014
InactiveBecker, Thomas 558554Agent - Property5/12/20084/15/2014
InactiveBeckler, Shawn T 699184Agent - Casualty9/21/20129/15/2025
InactiveBeckler, Shawn T 699184Agent - Property9/21/20129/15/2025
InactiveBeckler, Shawn T 699184Surplus Lines Broker - Not Applicable9/21/20129/15/2025
InactiveBrogan, Kevin M. 618319Agent - Casualty2/28/20082/9/2009
InactiveBrogan, Kevin M. 618319Agent - Property2/28/20082/9/2009
InactiveCalderon, Luis A 675031Agent - Casualty11/12/20124/15/2014
InactiveCalderon, Luis A 675031Agent - Property11/12/20124/15/2014
InactiveCash, Corey 631430Agent - Casualty9/21/201212/15/2025
InactiveCash, Corey 631430Agent - Health5/29/202412/15/2025
InactiveCash, Corey 631430Agent - Life5/29/202412/15/2025
InactiveCash, Corey 631430Agent - Property11/12/201212/15/2025
InactiveDalessio, Nicholas J 576577Agent - Casualty9/21/201212/15/2025
InactiveDalessio, Nicholas J 576577Agent - Property9/21/201212/15/2025
DeniedDe Vries, Anne Patricia 728745Agent - Casualty  
DeniedDe Vries, Anne Patricia 728745Agent - Property  
InactiveDerouin, Brian E 614895Agent - Casualty9/21/20125/16/2014
DeniedDerouin, Brian E 614895Agent - Health  
InactiveDerouin, Brian E 614895Agent - Property9/21/20125/16/2014
InactiveFauber, Carla M 681705Agent - Casualty9/21/20124/8/2013
InactiveFauber, Carla M 681705Agent - Property9/21/20124/8/2013
InactiveFerguson, Thomas A 700344Agent - Casualty9/21/20121/6/2025
InactiveFerguson, Thomas A 700344Agent - Property11/12/20121/6/2025
InactiveHatlem, David 343927Agent - Casualty10/30/20235/8/2024
InactiveHatlem, David 343927Agent - Health11/20/20235/8/2024
InactiveHatlem, David 343927Agent - Life11/20/20235/8/2024
InactiveHatlem, David 343927Agent - Property10/30/20235/8/2024
InactiveHollander, Susan 920514Agent - Casualty8/5/201610/9/2018
DeniedHollander, Susan 920514Agent - Health  
InactiveHollander, Susan 920514Agent - Property8/5/201610/9/2018
InactiveLucas, Hubert 822694Agent - Casualty1/8/201410/31/2016
InactiveLucas, Hubert 822694Agent - Property1/8/201410/31/2016
InactiveMejia, Annette 635434Agent - Casualty4/7/201411/18/2015
InactiveMejia, Annette 635434Agent - Property4/7/201411/18/2015
ActiveMorgan, Eric 1399787Independent Adjuster - Property & Casualty5/21/2025 
ActiveMorgan, Eric 1399787Independent Adjuster - Workers' Compensation5/21/2025 
DeniedOlsson, Elizabeth Leigh 701559Agent - Casualty  
DeniedOlsson, Elizabeth Leigh 701559Agent - Property  
InactivePatrick, Ryan H 726574Agent - Casualty9/21/20126/10/2024
InactivePatrick, Ryan H 726574Agent - Property11/16/20126/10/2024
InactivePaulk, John 813350Agent - Casualty3/18/201412/15/2025
InactivePaulk, John 813350Agent - Property3/18/201412/15/2025
InactivePaulk, John Irvine 392044Agent - Casualty3/18/20141/5/2016
InactivePaulk, John Irvine 392044Agent - Property3/18/20141/5/2016
InactivePaulk, John Irvine 392044Surplus Lines Broker - Not Applicable3/18/20141/5/2016
InactivePotter, Lori J 768460Agent - Casualty11/12/201212/15/2025
InactivePotter, Lori J 768460Agent - Property11/12/201212/15/2025
InactivePozmantier, Jeffrey Louis 505617Agent - Casualty2/17/200910/30/2023
InactivePozmantier, Jeffrey Louis 505617Agent - Health4/30/201410/30/2023
InactivePozmantier, Jeffrey Louis 505617Agent - Life4/30/201410/30/2023
InactivePozmantier, Jeffrey Louis 505617Agent - Property2/17/200910/30/2023
InactivePozmantier, Jeffrey Louis 505617Surplus Lines Broker - Not Applicable2/17/200911/10/2023
DeniedRichards, Helen A 728024Agent - Casualty  
DeniedRichards, Helen A 728024Agent - Property  
ActiveRiley, Mary Ellen 752636Independent Adjuster - Property & Casualty6/8/2011 
ActiveRiley, Mary Ellen 752636Independent Adjuster - Workers' Compensation6/8/2011 
InactiveSchreiber, Cheryn R 743001Agent - Casualty9/21/20124/25/2019
InactiveSchreiber, Cheryn R 743001Agent - Property9/21/20124/25/2019
InactiveSchulze, Mary Beth 511579Independent Adjuster - Property & Casualty9/21/20125/12/2025
InactiveShopoff, Holly Lynn 318319Agent - Casualty2/17/20095/5/2009
InactiveShopoff, Holly Lynn 318319Agent - Property2/17/20095/5/2009
InactiveSmall, Patrick S 510004Agent - Casualty6/20/20074/30/2014
InactiveSmall, Patrick S 510004Agent - Health6/26/20094/30/2014
InactiveSmall, Patrick S 510004Agent - Life6/26/20094/30/2014
InactiveSmall, Patrick S 510004Agent - Property6/20/20074/30/2014
InactiveSmall, Patrick S 510004Surplus Lines Broker - Not Applicable4/3/20084/30/2014
InactiveSnyder, Donald 541492Agent - Casualty7/17/201511/30/2020
InactiveSnyder, Donald 541492Agent - Property7/17/201511/30/2020
InactiveThim, Cheryl A 717720Agent - Casualty11/12/201212/15/2025
InactiveThim, Cheryl A 717720Agent - Property11/12/201212/15/2025
InactiveTrull, Joseph 881187Agent - Casualty11/10/20154/5/2023
DeniedTrull, Joseph 881187Agent - Health  
InactiveTrull, Joseph 881187Agent - Property11/10/20154/5/2023
DeniedWachenschwanz, Doreen A 507110Agent - Casualty  
DeniedWachenschwanz, Doreen A 507110Agent - Health  
DeniedWachenschwanz, Doreen A 507110Agent - Property  
ActiveWalker, Mistica 1399791Independent Adjuster - Property & Casualty5/21/2025 
ActiveWalker, Mistica 1399791Independent Adjuster - Workers' Compensation5/21/2025 
InactiveWalters, Trendolyn 925355Independent Adjuster - Property & Casualty8/23/201610/18/2024

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