DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Corix Insurance Services, LLC	DOIID	1030515	NAIC NPN	19039391

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	2/27/2019		3/31/2027
Active	Non Resident	Agent	Casualty	2/27/2019		3/31/2027
Active	Non Resident	Surplus Lines Broker	Not Applicable	6/11/2019		3/31/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2027	03/31/2027
Surplus Lines Broker	01/15/2027	03/31/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Employers Assurance Company	300120	Agent - Casualty	5/14/2020	6/27/2023
Inactive	Employers Compensation Insurance Company	797885	Agent - Casualty	5/14/2020	6/27/2023
Inactive	Employers Preferred Insurance Company	520656	Agent - Casualty	5/14/2020	6/27/2023
Active	State National Insurance Company, Inc.	300888	Agent - Casualty	9/10/2019
Active	State National Insurance Company, Inc.	300888	Agent - Property	9/10/2019

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Hedge, Travis Richard	1026147	Agent - Casualty	2/27/2019	12/28/2025
Inactive	Hedge, Travis Richard	1026147	Agent - Property	2/27/2019	12/28/2025
Inactive	Hedge, Travis Richard	1026147	Surplus Lines Broker - Not Applicable	6/11/2019	12/28/2025
Active	Tina, Joseph	1354379	Agent - Casualty	6/18/2026
Active	Tina, Joseph	1354379	Agent - Property	6/18/2026
Active	Tina, Joseph	1354379	Surplus Lines Broker - Not Applicable	6/18/2026
Inactive	Wallace, John Henry	867220	Agent - Casualty	8/27/2019	6/18/2026
Inactive	Wallace, John Henry	867220	Agent - Property	8/27/2019	6/18/2026
Inactive	Wallace, John Henry	867220	Surplus Lines Broker - Not Applicable	6/11/2019	6/18/2026