DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Especialty Insurance Services Agency, Inc.	DOIID	1155971	NAIC NPN	19888895

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	9/1/2021		3/31/2025
Active	Non Resident	Agent	Casualty	9/1/2021		3/31/2025
Active	Non Resident	Agent	Personal Lines	9/1/2021		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

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Employers Assurance Company	300120	Agent - Casualty	4/11/2024
Active	Employers Compensation Insurance Company	797885	Agent - Casualty	4/11/2024
Active	Employers Preferred Insurance Company	520656	Agent - Casualty	4/11/2024
Active	Great American Insurance Company	301586	Agent - Casualty	10/11/2021
Active	Great American Insurance Company	301586	Agent - Property	10/11/2021

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Sargent, Robert Tennant	383071	Agent - Casualty	9/1/2021
Active	Sargent, Robert Tennant	383071	Agent - Personal Lines	9/1/2021
Active	Sargent, Robert Tennant	383071	Agent - Property	9/1/2021