DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Rosen, David	DOIID	1085807	NAIC NPN	66294

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	6/9/2020		10/31/2025
Active	Non Resident	Agent	Property	6/9/2020		10/31/2025
Denied	Non Resident	Surplus Lines Broker	Not Applicable
* 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	08/15/2025	10/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Arch Insurance Company	300688	Agent - Casualty	6/18/2021
Active	Arch Insurance Company	300688	Agent - Property	6/18/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Brooks Group Ins Agency LLC	938515	Agent - Casualty	6/22/2023
Active	Brooks Group Ins Agency LLC	938515	Agent - Property	6/22/2023
Inactive	Pacific Merrill Assurance Brokers LLC	937257	Agent - Casualty	3/5/2021	7/22/2022
Inactive	Pacific Merrill Assurance Brokers LLC	937257	Agent - Property	3/5/2021	7/22/2022