DEPARTMENT OF INSURANCE

Affiliations

Name	Select Risk Services, Inc.	DOIID	1184193	NAIC NPN	18937890

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	1/21/2022	3/31/2026
Inactive	Non Resident	Agent	Property	1/21/2022	3/31/2026
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	1/21/2022	3/31/2026
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Allmerica Financial Alliance Insurance Company	300823	Agent - Casualty	4/19/2024	3/31/2026
Inactive	Allmerica Financial Alliance Insurance Company	300823	Agent - Property	4/19/2024	3/31/2026
Inactive	Allmerica Financial Benefit Insurance Company	301223	Agent - Casualty	4/19/2024	3/31/2026
Inactive	Allmerica Financial Benefit Insurance Company	301223	Agent - Property	4/19/2024	3/31/2026
Inactive	Arch Insurance Company	300688	Agent - Casualty	9/29/2022	2/27/2026
Inactive	Arch Insurance Company	300688	Agent - Property	9/29/2022	2/27/2026
Inactive	Hanover American Insurance Company (The)	300447	Agent - Casualty	4/19/2024	3/31/2026
Inactive	Hanover American Insurance Company (The)	300447	Agent - Property	4/19/2024	3/31/2026
Inactive	Hanover Insurance Company (The)	300508	Agent - Casualty	4/19/2024	3/31/2026
Inactive	Hanover Insurance Company (The)	300508	Agent - Property	4/19/2024	3/31/2026
Inactive	Massachusetts Bay Insurance Company	300898	Agent - Casualty	4/19/2024	3/31/2026
Inactive	Massachusetts Bay Insurance Company	300898	Agent - Property	4/19/2024	3/31/2026
Inactive	Star Insurance Company	301553	Agent - Casualty	12/6/2025	5/15/2026
Inactive	Star Insurance Company	301553	Agent - Property	12/6/2025	5/15/2026
Inactive	TNUS Insurance Company	593776	Agent - Casualty	10/3/2022	3/31/2026
Inactive	TNUS Insurance Company	593776	Agent - Property	10/3/2022	3/31/2026
Inactive	Tokio Marine America Insurance Company	786458	Agent - Casualty	8/1/2022	3/31/2026
Inactive	Tokio Marine America Insurance Company	786458	Agent - Property	8/1/2022	3/31/2026
Inactive	Trans Pacific Insurance Company	300076	Agent - Casualty	10/3/2022	3/31/2026
Inactive	Trans Pacific Insurance Company	300076	Agent - Property	10/3/2022	3/31/2026
Inactive	Verlan Fire Insurance Company	517102	Agent - Casualty	4/19/2024	3/31/2026
Inactive	Verlan Fire Insurance Company	517102	Agent - Property	4/19/2024	3/31/2026
Inactive	Williamsburg National Insurance Company	301825	Agent - Casualty	12/6/2025	5/15/2026
Inactive	Williamsburg National Insurance Company	301825	Agent - Property	12/6/2025	5/15/2026

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ross, Brandi Ellis	1183502	Agent - Casualty	1/21/2022	3/31/2026
Inactive	Ross, Brandi Ellis	1183502	Agent - Property	1/21/2022	3/31/2026
Inactive	Ross, Brandi Ellis	1183502	Surplus Lines Broker - Not Applicable	1/21/2022	3/31/2026