DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Masa Insurance Services Inc.	DOIID	1133707	NAIC NPN	19897480

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	6/9/2021		3/31/2027
Active	Non Resident	Agent	Property	5/10/2021		3/31/2027
Active	Non Resident	Agent	Casualty	5/10/2021		3/31/2027
Active	Non Resident	Agent	Health	7/13/2021		3/31/2027
Denied	Resident	Agent	Life
Active	Non Resident	Independent Adjuster	Property & Casualty	5/20/2021		3/31/2027
Active	Non Resident	Managing General Agent	Not Applicable	3/2/2022		3/31/2027
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	7/1/2022	4/1/2024
* 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
Administrator	01/15/2027	03/31/2027
Agent	01/15/2027	03/31/2027
Independent Adjuster	01/15/2027	03/31/2027
Managing General Agent	01/15/2027	03/31/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Obsidian Insurance Company	301819	Agent - Casualty	1/11/2022
Active	Obsidian Insurance Company	301819	Agent - Health	4/19/2022
Active	Obsidian Insurance Company	301819	Agent - Property	1/11/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Boron, Andrew	1138309	Administrator - Not Applicable	6/9/2021	3/9/2022
Active	Cassady-Lee, Lisa Faye	339561	Agent - Casualty	9/29/2026
Active	Cassady-Lee, Lisa Faye	339561	Agent - Health	9/29/2026
Active	Cassady-Lee, Lisa Faye	339561	Agent - Property	9/29/2026
Active	Clawges, Courtney Lauren	1328967	Independent Adjuster - Property & Casualty	9/30/2026
Active	Hernandez, Marcos	1132894	Administrator - Not Applicable	3/2/2022
Pending Replacement	Hernandez, Marcos	1132894	Agent - Casualty	6/9/2022
Pending Replacement	Hernandez, Marcos	1132894	Agent - Casualty	9/9/2025
Pending Replacement	Hernandez, Marcos	1132894	Agent - Health	7/31/2024
Denied	Hernandez, Marcos	1132894	Agent - Life
Pending Replacement	Hernandez, Marcos	1132894	Agent - Property	7/31/2024
Pending Replacement	Hernandez, Marcos	1132894	Agent - Property	9/9/2025
Pending Replacement	Hernandez, Marcos	1132894	Independent Adjuster - Property & Casualty	2/24/2025
Active	Hernandez, Marcos	1132894	Managing General Agent - Not Applicable	6/9/2022
Inactive	Hernandez, Marcos	1132894	Surplus Lines Broker - Not Applicable	7/1/2022	4/1/2024
Inactive	Markin, Nikolai K	1132890	Agent - Casualty	5/10/2021	6/30/2025
Inactive	Markin, Nikolai K	1132890	Agent - Property	5/10/2021	6/30/2025
Inactive	Pacella, Nichole Schofield	1120994	Independent Adjuster - Property & Casualty	5/20/2021	11/30/2024