DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Vantage Risk Insurance Services Corporation	DOIID	1120454	NAIC NPN	19797350

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	2/11/2021		3/31/2025
Active	Non Resident	Agent	Property	2/11/2021		3/31/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	2/17/2021		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
Surplus Lines Broker	01/15/2025	03/31/2025

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Boscana, Kelly Ann	1256953	Agent - Casualty	9/14/2023
Active	Boscana, Kelly Ann	1256953	Agent - Property	9/14/2023
Active	Boscana, Kelly Ann	1256953	Surplus Lines Broker - Not Applicable	6/2/2023
Denied	Bowlby, Casey	992982	Agent - Casualty
Denied	Bowlby, Casey	992982	Agent - Property
Inactive	Bowlby, Casey	992982	Surplus Lines Broker - Not Applicable	10/18/2021	1/6/2023
Inactive	Fry, Robert	502502	Agent - Casualty	2/11/2021	6/30/2023
Inactive	Fry, Robert	502502	Agent - Property	2/11/2021	6/30/2023
Inactive	Fry, Robert	502502	Surplus Lines Broker - Not Applicable	2/17/2021	6/30/2023
Active	Mcconnaughey, Lynn	631131	Agent - Casualty	8/30/2024
Active	Mcconnaughey, Lynn	631131	Agent - Property	8/30/2024