DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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
Inactive	Non Resident	Agent	Property	10/7/2019	9/23/2024
Inactive	Non Resident	Agent	Casualty	10/7/2019	9/23/2024
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.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Alternative Insurance Corporation	301697	Agent - Casualty	11/25/2019	9/23/2024
Inactive	American Alternative Insurance Corporation	301697	Agent - Property	11/25/2019	9/23/2024
Inactive	Great American Alliance Insurance Company	301247	Agent - Casualty	8/13/2021	9/23/2024
Inactive	Great American Alliance Insurance Company	301247	Agent - Property	8/13/2021	9/23/2024
Inactive	Great American Insurance Company	301586	Agent - Casualty	8/13/2021	9/23/2024
Inactive	Great American Insurance Company	301586	Agent - Property	8/13/2021	9/23/2024

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fanjoy, Debra S	636360	Agent - Casualty	9/29/2021	9/23/2024
Inactive	Fanjoy, Debra S	636360	Agent - Property	9/29/2021	9/23/2024
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