DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Nelson, Spencer	DOIID	1185027	NAIC NPN	16389927

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	1/27/2022		1/31/2025
Active	Non Resident	Agent	Property	1/27/2022		1/31/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	1/27/2022		1/31/2025
* 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	11/15/2024	01/31/2025
Surplus Lines Broker	11/15/2024	01/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ClearPath Insurance Company	979815	Agent - Casualty	3/5/2024
Active	Travelers Indemnity Company (The)	301855	Agent - Casualty	4/20/2022
Active	Travelers Indemnity Company (The)	301855	Agent - Property	4/20/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Tis Ins Services Inc	523150	Agent - Casualty	4/20/2022
Active	Tis Ins Services Inc	523150	Agent - Property	4/20/2022
Active	Tis Ins Services Inc	523150	Surplus Lines Broker - Not Applicable	3/29/2022