DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Derosa, Timothy Buckley	DOIID	802073	NAIC NPN	9600758

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	1/23/2013		1/31/2026
Active	Non Resident	Agent	Casualty	1/23/2013		1/31/2026
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	1/23/2013	1/31/2022
* 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	11/15/2025	01/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ACE American Insurance Company	300625	Agent - Casualty	5/6/2014	9/9/2021
Inactive	ACE American Insurance Company	300625	Agent - Property	5/6/2014	9/9/2021
Active	AIG Property Casualty Company	300621	Agent - Casualty	3/11/2013
Active	AIG Property Casualty Company	300621	Agent - Property	3/11/2013
Inactive	Bankers Standard Insurance Company	301620	Agent - Casualty	5/6/2014	9/9/2021
Inactive	Bankers Standard Insurance Company	301620	Agent - Property	5/6/2014	9/9/2021
Active	Berkley Regional Insurance Company	300920	Agent - Casualty	11/3/2021
Active	Berkley Regional Insurance Company	300920	Agent - Property	11/3/2021
Inactive	Great Northern Insurance Company	301107	Agent - Casualty	8/29/2017	9/9/2021
Inactive	Great Northern Insurance Company	301107	Agent - Property	8/29/2017	9/9/2021
Inactive	Jewelers Mutual Insurance Company, SI	301935	Agent - Casualty	8/6/2020	7/6/2021
Inactive	Jewelers Mutual Insurance Company, SI	301935	Agent - Property	8/6/2020	7/6/2021
Inactive	Mount Vernon Fire Insurance Company	301397	Agent - Casualty	8/4/2017	12/28/2023
Inactive	Mount Vernon Fire Insurance Company	301397	Agent - Property	8/4/2017	12/28/2023
Inactive	Pacific Indemnity Company	301610	Agent - Casualty	8/29/2017	9/9/2021
Inactive	Pacific Indemnity Company	301610	Agent - Property	8/29/2017	9/9/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Orchid Underwriters Agency LLC	902184	Agent - Property	12/18/2015	7/29/2021
Inactive	Orchid Underwriters Agency LLC	902184	Agent - Casualty	12/18/2015	7/29/2021
Inactive	Orchid Underwriters Agency LLC	902184	Surplus Lines Broker - Not Applicable	12/18/2015	7/29/2021
Inactive	Platinum Partners Ins Services Inc	806304	Agent - Property	3/27/2013	2/9/2017
Inactive	Platinum Partners Ins Services Inc	806304	Agent - Casualty	3/27/2013	2/9/2017
Inactive	Platinum Partners X S Services LLC	806305	Agent - Property	3/22/2013	3/31/2017
Inactive	Platinum Partners X S Services LLC	806305	Agent - Casualty	3/22/2013	3/31/2017
Inactive	Platinum Partners X S Services LLC	806305	Surplus Lines Broker - Not Applicable	3/22/2013	1/31/2022