DEPARTMENT OF INSURANCE

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		3/31/2025
Active	Non Resident	Agent	Casualty	11/15/2019		3/31/2025
* 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	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