DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Piiq Risk Partners Inc	DOIID	1059378	NAIC NPN	19289093

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	10/7/2019		3/31/2025
Active	Non Resident	Agent	Casualty	10/7/2019		3/31/2025
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	10/16/2019	10/3/2023
* 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	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Alternative Insurance Corporation	301697	Agent - Casualty	11/25/2019
Active	American Alternative Insurance Corporation	301697	Agent - Property	11/25/2019
Active	Great American Alliance Insurance Company	301247	Agent - Casualty	8/13/2021
Active	Great American Alliance Insurance Company	301247	Agent - Property	8/13/2021
Active	Great American Insurance Company	301586	Agent - Casualty	8/13/2021
Active	Great American Insurance Company	301586	Agent - Property	8/13/2021

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Fanjoy, Debra S	636360	Agent - Casualty	9/29/2021
Active	Fanjoy, Debra S	636360	Agent - Property	9/29/2021
Inactive	Fanjoy, Debra S	636360	Surplus Lines Broker - Not Applicable	9/29/2021	12/8/2022
Denied	Fine, Bruce	636422	Agent - Casualty
Denied	Fine, Bruce	636422	Agent - Property
Inactive	Krajcir, Stacie P	1052687	Agent - Casualty	10/7/2019	10/21/2021
Inactive	Krajcir, Stacie P	1052687	Agent - Property	10/7/2019	10/21/2021
Inactive	Krajcir, Stacie P	1052687	Surplus Lines Broker - Not Applicable	10/16/2019	10/21/2021
Denied	Porges, Sarah A	1109155	Agent - Casualty
Denied	Porges, Sarah A	1109155	Agent - Property
Inactive	Porges, Sarah A	1109155	Surplus Lines Broker - Not Applicable	9/26/2022	10/3/2023