DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Pgia, Inc. DBA : Provider Insurance	DOIID	1037668	NAIC NPN	19055789

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	4/25/2019		3/31/2027
Active	Non Resident	Agent	Health	4/25/2019		3/31/2027
Active	Non Resident	Agent	Casualty	4/25/2019		3/31/2027
Active	Non Resident	Agent	Property	4/25/2019		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

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	AIG Property Casualty Company	300621	Agent - Casualty	6/17/2019
Active	AIG Property Casualty Company	300621	Agent - Property	6/17/2019
Inactive	Bankers Standard Insurance Company	301620	Agent - Casualty	5/21/2026	6/12/2026
Inactive	Bankers Standard Insurance Company	301620	Agent - Property	5/21/2026	6/12/2026
Inactive	Privilege Underwriters Reciprocal Exchange	769657	Agent - Casualty	10/19/2021	6/10/2026
Inactive	Privilege Underwriters Reciprocal Exchange	769657	Agent - Property	10/19/2021	6/10/2026

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Cross, Jonathan Michael	901611	Agent - Casualty	4/25/2019
Active	Cross, Jonathan Michael	901611	Agent - Health	4/25/2019
Active	Cross, Jonathan Michael	901611	Agent - Life	4/25/2019
Active	Cross, Jonathan Michael	901611	Agent - Property	4/25/2019
Active	Cross, Royce M	334943	Agent - Casualty	4/25/2019
Active	Cross, Royce M	334943	Agent - Property	4/25/2019