DEPARTMENT OF INSURANCE
Affiliations
NameGreen Shield Risk Solutions LLCDOIID1227059NAIC NPN20393124
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
Pending ReplacementNon ResidentAgentCasualty8/31/2022 3/31/2028
Pending ReplacementNon ResidentAgentProperty8/31/2022 3/31/2028
ActiveNon ResidentSurplus Lines BrokerNot Applicable8/31/2022 3/31/2028
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202603/31/202601/20/202601/20/2026Yes
Surplus Lines Broker01/15/202603/31/202601/20/202601/20/2026Yes
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
PendingBlandford, Patrick M 1020561Agent - Casualty  
PendingBlandford, Patrick M 1020561Agent - Property  
ActiveBlandford, Patrick M 1020561Surplus Lines Broker - Not Applicable8/31/2022 

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