DEPARTMENT OF INSURANCE
Affiliations
NameDacosta, David DOIID1180825NAIC NPN16805567
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentProperty1/3/2022 6/30/2026
ActiveNon ResidentAgentCasualty1/3/2022 6/30/2026
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveGreat West Casualty Company301015Agent - Casualty1/25/2022 
ActiveGreat West Casualty Company301015Agent - Property1/25/2022 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAcrisure LLC696181Agent - Casualty2/3/202212/23/2024
InactiveAcrisure LLC696181Agent - Property2/3/202212/23/2024
ActiveAcrisure South Insurance Services LLC1272242Agent - Casualty12/23/2024 
ActiveAcrisure South Insurance Services LLC1272242Agent - Property12/23/2024 

© Commonwealth of Kentucky. All rights reserved.