DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Insur Risk Management Services, LLC	DOIID	1081105	NAIC NPN	19470466

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	4/14/2020	12/16/2020
Inactive	Non Resident	Agent	Property	4/14/2020	12/16/2020
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	4/14/2020	12/16/2020
* 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	Employers Assurance Company	300120	Agent - Casualty	5/11/2020	12/16/2020
Inactive	Employers Compensation Insurance Company	797885	Agent - Casualty	5/11/2020	12/16/2020
Inactive	Employers Preferred Insurance Company	520656	Agent - Casualty	5/11/2020	12/16/2020

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Greenwald, Thomas A	957020	Agent - Casualty	4/14/2020	12/16/2020
Inactive	Greenwald, Thomas A	957020	Agent - Property	4/14/2020	12/16/2020
Inactive	Greenwald, Thomas A	957020	Surplus Lines Broker - Not Applicable	4/14/2020	12/16/2020