PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NamePrivate Client Select Insurance Services LLCDOIID1242047NAIC NPN20516454
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentProperty11/13/2022 3/31/2026
ActiveNon ResidentAgentCasualty11/13/2022 3/31/2026
ActiveNon ResidentIndependent AdjusterProperty & Casualty11/21/2022 3/31/2026
ActiveNon ResidentManaging General AgentNot Applicable1/31/2024 3/31/2026
ActiveNon ResidentSurplus Lines BrokerNot Applicable11/13/2022 3/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAIG Property Casualty Company300621Agent - Casualty1/26/2023 
ActiveAIG Property Casualty Company300621Agent - Property1/26/2023 
ActiveAmerican Home Assurance Company300246Agent - Casualty1/26/2023 
ActiveAmerican Home Assurance Company300246Agent - Property1/26/2023 
ActiveCommerce and Industry Insurance Company300881Agent - Casualty1/26/2023 
ActiveCommerce and Industry Insurance Company300881Agent - Property1/26/2023 
ActiveGranite State Insurance Company300818Agent - Casualty1/26/2023 
ActiveGranite State Insurance Company300818Agent - Property1/26/2023 
ActiveIllinois National Insurance Company301367Agent - Casualty1/26/2023 
ActiveIllinois National Insurance Company301367Agent - Property1/26/2023 
ActiveInsurance Company of the State of Pennsylvania300807Agent - Casualty1/26/2023 
ActiveInsurance Company of the State of Pennsylvania300807Agent - Property1/26/2023 
ActiveNew Hampshire Insurance Company301670Agent - Casualty10/3/2024 
ActiveNew Hampshire Insurance Company301670Agent - Property10/3/2024 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveBayram, Marc Anthony 896756Agent - Casualty11/13/2022 
ActiveBayram, Marc Anthony 896756Agent - Property11/13/2022 
InactiveBazan, Brian C 1207681Agent - Casualty2/21/20245/23/2024
InactiveBazan, Brian C 1207681Agent - Property2/21/20245/23/2024
InactiveBazan, Brian C 1207681Surplus Lines Broker - Not Applicable2/21/202412/23/2024
ActiveBlohm, Frederick George 732753Independent Adjuster - Property & Casualty11/21/2022 
InactiveBradley, Vanessa 654543Agent - Casualty2/21/20245/14/2024
InactiveBradley, Vanessa 654543Agent - Property2/21/20245/14/2024
InactiveCarlisle, Janine V 860419Agent - Casualty2/21/202412/3/2024
InactiveCarlisle, Janine V 860419Agent - Property2/21/202412/3/2024
ActiveColon, Gail Allen 831419Agent - Casualty11/13/2022 
ActiveColon, Gail Allen 831419Agent - Casualty1/31/2024 
ActiveColon, Gail Allen 831419Agent - Property11/13/2022 
ActiveColon, Gail Allen 831419Agent - Property1/31/2024 
ActiveColon, Gail Allen 831419Surplus Lines Broker - Not Applicable11/13/2022 
ActiveDelffs, Patricia Anne 877894Agent - Casualty2/21/2024 
ActiveDelffs, Patricia Anne 877894Agent - Property2/21/2024 
InactiveEiring, Carla Bisgaard 1180896Agent - Casualty2/21/202411/1/2024
InactiveEiring, Carla Bisgaard 1180896Agent - Property2/21/202411/1/2024
InactiveEiring, Carla Bisgaard 1180896Surplus Lines Broker - Not Applicable2/21/202411/1/2024
ActiveGouwens, Patrick Robert 374260Independent Adjuster - Property & Casualty12/13/2023 
PendingHuntley, Guy M 1303047Agent - Casualty  
PendingHuntley, Guy M 1303047Agent - Property  
ActiveHuntley, Guy M 1303047Surplus Lines Broker - Not Applicable2/21/2024 
ActiveKean, Lana Doucet 873289Agent - Casualty2/21/2024 
ActiveKean, Lana Doucet 873289Agent - Property2/21/2024 
ActiveMoore, Kelly J 878057Agent - Casualty2/21/2024 
ActiveMoore, Kelly J 878057Agent - Property2/21/2024 
ActiveSaxon, Mary Kay 506862Agent - Casualty12/23/2024 
ActiveSaxon, Mary Kay 506862Agent - Property12/23/2024 
ActiveWeinberger, Sandra Jean 877908Agent - Casualty2/21/2024 
ActiveWeinberger, Sandra Jean 877908Agent - Property2/21/2024 

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