DEPARTMENT OF INSURANCE

Affiliations

Name	Lockton Specialties LLC	DOIID	1001746	NAIC NPN	17391475

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	7/24/2018	3/31/2026
Active	Non Resident	Agent	Life	7/24/2018	3/31/2026
Active	Non Resident	Agent	Health	7/24/2018	3/31/2026
Active	Non Resident	Agent	Casualty	7/24/2018	3/31/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	12/21/2020	3/31/2026
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	ACE American Insurance Company	300625	Agent - Casualty	8/29/2022
Active	ACE American Insurance Company	300625	Agent - Property	8/29/2022
Active	AIG Property Casualty Company	300621	Agent - Casualty	10/5/2022
Active	AIG Property Casualty Company	300621	Agent - Property	10/5/2022
Active	Bankers Standard Insurance Company	301620	Agent - Casualty	8/29/2022
Active	Bankers Standard Insurance Company	301620	Agent - Property	8/29/2022
Active	Chubb Indemnity Insurance Company	300438	Agent - Casualty	8/29/2022
Active	Chubb Indemnity Insurance Company	300438	Agent - Property	8/29/2022
Active	Chubb National Insurance Company	301392	Agent - Casualty	8/29/2022
Active	Chubb National Insurance Company	301392	Agent - Property	8/29/2022
Active	Crestbrook Insurance Company	805354	Agent - Casualty	7/28/2022
Active	Crestbrook Insurance Company	805354	Agent - Property	7/28/2022
Active	Encompass Indemnity Company	546376	Agent - Casualty	9/5/2022
Active	Encompass Indemnity Company	546376	Agent - Property	9/5/2022
Active	Executive Risk Indemnity Inc.	301510	Agent - Casualty	8/29/2022
Active	Executive Risk Indemnity Inc.	301510	Agent - Property	8/29/2022
Active	Federal Insurance Company	301144	Agent - Casualty	8/29/2022
Active	Federal Insurance Company	301144	Agent - Property	8/29/2022
Active	Great Northern Insurance Company	301107	Agent - Casualty	8/29/2022
Active	Great Northern Insurance Company	301107	Agent - Property	8/29/2022
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	5/19/2022
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	5/19/2022
Active	Nationwide Mutual Insurance Company	301749	Agent - Casualty	7/28/2022
Active	Nationwide Mutual Insurance Company	301749	Agent - Property	7/28/2022
Active	Pacific Indemnity Company	301610	Agent - Casualty	8/29/2022
Active	Pacific Indemnity Company	301610	Agent - Property	8/29/2022
Active	Privilege Underwriters Reciprocal Exchange	769657	Agent - Casualty	12/10/2022
Active	Privilege Underwriters Reciprocal Exchange	769657	Agent - Property	12/10/2022
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	3/16/2023
Active	Progressive Casualty Insurance Company	300696	Agent - Property	3/16/2023
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	4/14/2022
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	4/14/2022
Active	Reliance Standard Life Insurance Company	300584	Agent - Health	2/7/2023
Active	Reliance Standard Life Insurance Company	300584	Agent - Life	2/7/2023
Active	Starmount Life Insurance Company	628031	Agent - Health	4/14/2022
Active	UNUM Life Insurance Company of America	300817	Agent - Health	4/14/2022
Active	UNUM Life Insurance Company of America	300817	Agent - Life	4/14/2022
Active	United Financial Casualty Company	301886	Agent - Casualty	3/16/2023
Active	United Financial Casualty Company	301886	Agent - Property	3/16/2023
Active	United of Omaha Life Insurance Company	300156	Agent - Health	5/24/2022
Active	United of Omaha Life Insurance Company	300156	Agent - Life	5/24/2022
Active	Unum Insurance Company	301499	Agent - Health	4/14/2022
Active	Unum Insurance Company	301499	Agent - Life	4/14/2022
Active	Vigilant Insurance Company	301143	Agent - Casualty	8/29/2022
Active	Vigilant Insurance Company	301143	Agent - Property	8/29/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Denied	Ahern, Shane Robert	1184971	Agent - Casualty
Denied	Ahern, Shane Robert	1184971	Agent - Property
Active	Bell, Nathan Gareth	1184970	Agent - Casualty	7/28/2022
Active	Bell, Nathan Gareth	1184970	Agent - Property	7/28/2022
Active	Mandato, Claudia	607870	Agent - Casualty	7/24/2018
Active	Mandato, Claudia	607870	Agent - Health	7/24/2018
Active	Mandato, Claudia	607870	Agent - Life	7/24/2018
Active	Mandato, Claudia	607870	Agent - Property	7/24/2018
Active	Mandato, Claudia	607870	Surplus Lines Broker - Not Applicable	12/21/2020
Active	Moseley, Kama R	1184985	Agent - Casualty	7/28/2022
Denied	Moseley, Kama R	1184985	Agent - Health
Denied	Moseley, Kama R	1184985	Agent - Life
Active	Moseley, Kama R	1184985	Agent - Property	7/28/2022
Denied	Rasmussen, Jo Lynn	1135341	Agent - Casualty
Denied	Rasmussen, Jo Lynn	1135341	Agent - Property