DEPARTMENT OF INSURANCE

Affiliations

Name	Acrisure Southeast Specialty Insurance Agency, LLC	DOIID	1089877	NAIC NPN	19450427

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	7/20/2020	3/31/2026
Active	Non Resident	Agent	Property	7/20/2020	3/31/2026
Active	Non Resident	Agent	Life	7/20/2020	3/31/2026
Active	Non Resident	Agent	Health	7/20/2020	3/31/2026
* 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	All Savers Insurance Company	301940	Agent - Health	12/22/2022	5/31/2024
Inactive	All Savers Insurance Company	301940	Agent - Life	12/22/2022	5/31/2024
Active	AmTrust Insurance Company	300179	Agent - Casualty	11/18/2020
Active	AmTrust Insurance Company	300179	Agent - Property	11/18/2020
Active	American Contractors Indemnity Company	536843	Agent - Casualty	5/14/2021
Active	Ameritas Life Insurance Corporation	300126	Agent - Health	1/7/2021
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	5/5/2023	11/27/2023
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	5/5/2023	11/27/2023
Inactive	Companion Life Insurance Company	300191	Agent - Health	6/28/2021	12/21/2023
Inactive	Companion Life Insurance Company	300191	Agent - Life	6/28/2021	12/21/2023
Active	Fidelity Security Life Insurance Company	300466	Agent - Health	2/22/2021
Active	Fidelity Security Life Insurance Company	300466	Agent - Life	2/22/2021
Active	Great American Assurance Company	300327	Agent - Casualty	2/28/2024
Active	Great American Assurance Company	300327	Agent - Property	2/28/2024
Active	Great American Spirit Insurance Company	300233	Agent - Casualty	5/1/2024
Active	Great American Spirit Insurance Company	300233	Agent - Property	5/1/2024
Active	Hartford Underwriters Insurance Company	301064	Agent - Casualty	7/10/2022
Active	Hartford Underwriters Insurance Company	301064	Agent - Property	7/10/2022
Active	Milford Casualty Insurance Company	301460	Agent - Casualty	11/18/2020
Active	Milford Casualty Insurance Company	301460	Agent - Property	11/18/2020
Active	Nationwide Life Insurance Company	300495	Agent - Health	5/10/2021
Active	Nationwide Life Insurance Company	300495	Agent - Life	5/10/2021
Active	Next Insurance US Company	1083825	Agent - Casualty	1/18/2023
Active	Next Insurance US Company	1083825	Agent - Property	1/18/2023
Active	Pennsylvania National Mutual Casualty Insurance Company	301395	Agent - Casualty	1/19/2021
Active	Pennsylvania National Mutual Casualty Insurance Company	301395	Agent - Property	1/19/2021
Active	Security National Insurance Company	301151	Agent - Casualty	11/18/2020
Active	Security National Insurance Company	301151	Agent - Property	11/18/2020
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Casualty	6/18/2021	10/18/2023
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Property	6/18/2021	10/18/2023
Active	Sequoia Insurance Company	628046	Agent - Casualty	11/18/2020
Active	Sequoia Insurance Company	628046	Agent - Property	11/18/2020
Active	Technology Insurance Company	613278	Agent - Casualty	11/18/2020
Active	Technology Insurance Company	613278	Agent - Property	11/18/2020
Active	U.S. Specialty Insurance Company	300186	Agent - Casualty	5/14/2021
Active	United Financial Casualty Company	301886	Agent - Casualty	11/3/2021
Active	United Financial Casualty Company	301886	Agent - Property	11/3/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	6/3/2021	5/31/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	6/3/2021	5/31/2024
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	6/3/2021	5/31/2024
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	6/3/2021	5/31/2024
Active	Wesco Insurance Company	300534	Agent - Casualty	11/18/2020
Active	Wesco Insurance Company	300534	Agent - Property	11/18/2020

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Davis, Jennifer	1120910	Agent - Health	4/29/2021
Active	Davis, Jennifer	1120910	Agent - Life	4/29/2021
Active	Kolenda, Courtney Lynne	1022910	Agent - Casualty	7/20/2020
Active	Kolenda, Courtney Lynne	1022910	Agent - Health	7/20/2020
Active	Kolenda, Courtney Lynne	1022910	Agent - Life	7/20/2020
Active	Kolenda, Courtney Lynne	1022910	Agent - Property	7/20/2020
Active	Upton, Jason Blaine	735703	Agent - Casualty	9/16/2020
Active	Upton, Jason Blaine	735703	Agent - Property	9/16/2020