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	Casualty	4/25/2019		3/31/2027
Active	Non Resident	Agent	Health	4/25/2019		3/31/2027
Active	Non Resident	Agent	Property	4/25/2019		3/31/2027
Active	Non Resident	Agent	Life	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.

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
Active	Privilege Underwriters Reciprocal Exchange	769657	Agent - Casualty	10/19/2021
Active	Privilege Underwriters Reciprocal Exchange	769657	Agent - Property	10/19/2021

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