DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Erickson, Kevin	DOIID	1213764	NAIC NPN	20259049

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Personal Lines	6/28/2022		1/31/2025
Active	Non Resident	Agent	Casualty	6/28/2022		1/31/2025
Active	Non Resident	Agent	Property	6/28/2022		1/31/2025
Active	Non Resident	Reinsurance Intermediary Broker	Not Applicable	8/12/2022		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
Reinsurance Intermediary 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	Zurich American Insurance Company	301121	Agent - Casualty	7/7/2022
Active	Zurich American Insurance Company	301121	Agent - Property	7/7/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Willis Administrative Services Corporation	394874	Agent - Casualty	7/8/2022
Active	Willis Administrative Services Corporation	394874	Agent - Property	7/8/2022
Active	Willis Administrative Services Corporation	394874	Reinsurance Intermediary Broker - Not Applicable	8/29/2022
Active	Willis Towers Watson Northeast Inc	537673	Agent - Casualty	7/18/2022
Active	Willis Towers Watson Northeast Inc	537673	Agent - Property	7/18/2022