PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameCorpuz, Terri GoldingDOIID1010075NAIC NPN3076389
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentProperty9/15/2018 7/31/2027
ActiveNon ResidentAgentCasualty9/15/2018 7/31/2027
ActiveNon ResidentSurplus Lines BrokerNot Applicable4/8/2019 7/31/2027
* 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
Agent05/15/202507/31/202506/05/202506/05/2025Yes
Surplus Lines Broker05/15/202507/31/202506/05/202506/05/2025Yes
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBrickStreet Mutual Insurance Company709251Agent - Casualty11/27/202111/27/2021
InactiveNorthStone Insurance Company818905Agent - Casualty11/27/202111/27/2021
InactivePinnaclePoint Insurance Company819085Agent - Casualty11/27/202111/27/2021
InactiveSummitPoint Insurance Company819084Agent - Casualty11/27/202111/27/2021
InactiveZurich American Insurance Company301121Agent - Casualty9/24/20186/23/2022
InactiveZurich American Insurance Company301121Agent - Property9/24/20186/23/2022
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveWillis Towers Watson Southeast Inc399919Agent - Property2/1/20206/7/2021
InactiveWillis Towers Watson Southeast Inc399919Agent - Casualty2/1/20206/7/2021
ActiveWillis Towers Watson Southeast Inc399919Surplus Lines Broker - Not Applicable2/1/2020 
InactiveWillis of Virginia, LLC533452Agent - Property4/10/20191/8/2020
InactiveWillis of Virginia, LLC533452Agent - Casualty4/10/20191/8/2020

© Commonwealth of Kentucky. All rights reserved.