DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Distinguished Prize Indemnity LLC DBA : AMERICAN HOLE 'N ONE, NATIONAL HOLE 'N ONE, GRAND PRIZE PROMOTIONS	DOIID	1065425	NAIC NPN	19151549

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	11/15/2019		3/31/2027
Active	Non Resident	Agent	Casualty	11/15/2019		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	Everest Denali Insurance Company	941054	Agent - Casualty	10/26/2020
Active	Everest Denali Insurance Company	941054	Agent - Property	10/26/2020
Active	Everest National Insurance Company	301319	Agent - Casualty	10/26/2020
Active	Everest National Insurance Company	301319	Agent - Property	10/26/2020
Active	Everest Premier Insurance Company	941053	Agent - Casualty	10/26/2020
Active	Everest Premier Insurance Company	941053	Agent - Property	10/26/2020

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Roopnarine, Michael J	1025331	Agent - Casualty	11/15/2019	12/13/2022
Inactive	Roopnarine, Michael J	1025331	Agent - Property	11/15/2019	12/13/2022
Inactive	Roopnarine, Michael J	1025331	Agent - Property	11/15/2019	12/13/2022
Active	Ruiz, Adolfo Ricardo	518603	Agent - Casualty	12/13/2022
Active	Ruiz, Adolfo Ricardo	518603	Agent - Property	12/13/2022