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DEPARTMENT OF INSURANCE
Affiliations
Name
Convex North America Insurance Services LLC
DOIID
1154417
NAIC NPN
20031631
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Non Resident
Agent
Property
8/26/2021
3/31/2027
Active
Non Resident
Agent
Life
8/29/2024
3/31/2027
Active
Non Resident
Agent
Health
8/29/2024
3/31/2027
Active
Non Resident
Agent
Casualty
8/26/2021
3/31/2027
Active
Non Resident
Independent Adjuster
Property & Casualty
8/29/2024
3/31/2027
Active
Non Resident
Surplus Lines Broker
Not Applicable
8/26/2021
3/31/2027
* 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
01/22/2025
01/22/2025
Yes
Surplus Lines Broker
01/15/2025
03/31/2025
01/22/2025
01/22/2025
Yes
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Denied
Bongi, Thomas Michael
1228088
Agent - Casualty
Denied
Bongi, Thomas Michael
1228088
Agent - Property
Active
Bongi, Thomas Michael
1228088
Surplus Lines Broker - Not Applicable
10/14/2022
Active
Chauvin, William Pierre
707831
Agent - Casualty
8/26/2021
Active
Chauvin, William Pierre
707831
Agent - Property
8/26/2021
Active
Chauvin, William Pierre
707831
Surplus Lines Broker - Not Applicable
8/26/2021
Active
Durany, Steven Neil
802223
Agent - Health
8/29/2024
Active
Durany, Steven Neil
802223
Agent - Life
8/29/2024
Active
Errico, Christina R
841300
Independent Adjuster - Property & Casualty
8/29/2024
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