DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Talbot Specialty Insurance Services Inc	DOIID	1206648	NAIC NPN	12773850

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	5/23/2022		3/31/2026
Active	Non Resident	Agent	Casualty	5/23/2022		3/31/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	6/11/2024		3/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Goldman, Craig	1252145	Surplus Lines Broker - Not Applicable	6/11/2024
Active	Oztap, Kudret	1196772	Agent - Casualty	5/23/2022
Active	Oztap, Kudret	1196772	Agent - Property	5/23/2022
Active	Seifert, Jennifer	1019108	Surplus Lines Broker - Not Applicable	6/11/2024