DEPARTMENT OF INSURANCE

Affiliations

Name	Moncibaez, Stephanie	DOIID	1030429	NAIC NPN	19055704

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Casualty	10/30/2019	1/1/2024
Inactive	Resident	Agent	Property	11/5/2019	1/1/2024
* 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	Inactive Date
Inactive	Capitol Indemnity Corporation	301030	Agent - Casualty	9/7/2022	1/1/2024
Inactive	EMC Property & Casualty Company	955217	Agent - Casualty	5/21/2021	1/1/2024
Inactive	EMC Property & Casualty Company	955217	Agent - Property	5/21/2021	1/1/2024
Inactive	EMCASCO Insurance Company	842790	Agent - Casualty	1/31/2020	1/1/2024
Inactive	EMCASCO Insurance Company	842790	Agent - Property	1/31/2020	1/1/2024
Inactive	Employers Mutual Casualty Company	300202	Agent - Casualty	1/31/2020	1/1/2024
Inactive	Employers Mutual Casualty Company	300202	Agent - Property	1/31/2020	1/1/2024
Inactive	Old Guard Insurance Company	533854	Agent - Casualty	6/3/2021	6/14/2021
Inactive	Old Guard Insurance Company	533854	Agent - Property	6/3/2021	6/14/2021
Inactive	Platte River Insurance Company	301089	Agent - Casualty	9/7/2022	1/1/2024
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	12/13/2021	1/1/2024
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	12/13/2021	1/1/2024
Inactive	Union Insurance Company of Providence	842791	Agent - Casualty	1/31/2020	1/1/2024
Inactive	Union Insurance Company of Providence	842791	Agent - Property	1/31/2020	1/1/2024
Inactive	Westfield Champion Insurance Company	1054839	Agent - Casualty	6/3/2021	6/14/2021
Inactive	Westfield Champion Insurance Company	1054839	Agent - Property	6/3/2021	6/14/2021
Inactive	Westfield Insurance Company	301950	Agent - Casualty	2/15/2020	1/1/2024
Inactive	Westfield Insurance Company	301950	Agent - Property	2/15/2020	1/1/2024
Inactive	Westfield Premier Insurance Company	1055055	Agent - Casualty	6/3/2021	6/14/2021
Inactive	Westfield Premier Insurance Company	1055055	Agent - Property	6/3/2021	6/14/2021
Inactive	Westfield Superior Insurance Company	1054978	Agent - Casualty	6/3/2021	6/14/2021
Inactive	Westfield Superior Insurance Company	1054978	Agent - Property	6/3/2021	6/14/2021
Inactive	Westfield Touchstone Insurance Company	1055057	Agent - Casualty	6/3/2021	6/14/2021
Inactive	Westfield Touchstone Insurance Company	1055057	Agent - Property	6/3/2021	6/14/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Triple Crown Insurance, LLC	808123	Agent - Casualty	3/4/2020	1/1/2024
Inactive	Triple Crown Insurance, LLC	808123	Agent - Property	3/4/2020	1/1/2024
Inactive	Trucordia Insurance Services, LLC	976137	Agent - Casualty	5/27/2021	1/1/2024
Inactive	Trucordia Insurance Services, LLC	976137	Agent - Property	5/27/2021	1/1/2024