DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Anderson, Justin	DOIID	1209003	NAIC NPN	18948770

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	11/14/2024		11/30/2025
Active	Non Resident	Agent	Property	11/14/2024		11/30/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	11/18/2024		11/30/2025
* 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	09/15/2025	11/30/2025
Surplus Lines Broker	09/15/2025	11/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Zurich American Insurance Company	301121	Agent - Casualty	12/11/2024
Active	Zurich American Insurance Company	301121	Agent - Property	12/11/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Willis Towers Watson Southeast Inc	399919	Agent - Casualty	12/16/2024
Active	Willis Towers Watson Southeast Inc	399919	Agent - Property	12/16/2024
Active	Willis Towers Watson Southeast Inc	399919	Surplus Lines Broker - Not Applicable	12/16/2024