DEPARTMENT OF INSURANCE

Affiliations

Name	Acrisure Northwest Partners Insurance Services LLC	DOIID	1246859	NAIC NPN	20555810

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	12/14/2022	3/31/2026
Active	Non Resident	Agent	Casualty	12/14/2022	3/31/2026
Active	Non Resident	Agent	Health	12/14/2022	3/31/2026
Active	Non Resident	Agent	Life	12/14/2022	3/31/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	1/6/2023	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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	AmTrust Insurance Company	300179	Agent - Casualty	12/29/2023
Active	AmTrust Insurance Company	300179	Agent - Property	12/29/2023
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	1/21/2024
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	1/21/2024
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/24/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	1/24/2024
Active	Anthem Life Insurance Company	301209	Agent - Health	1/26/2024
Active	Anthem Life Insurance Company	301209	Agent - Life	1/26/2024
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	1/24/2024
Active	Employers Assurance Company	300120	Agent - Casualty	4/2/2024
Active	Employers Compensation Insurance Company	797885	Agent - Casualty	4/2/2024
Active	Employers Preferred Insurance Company	520656	Agent - Casualty	4/2/2024
Active	Liberty Insurance Underwriters Inc.	301391	Agent - Casualty	3/29/2024
Active	Liberty Insurance Underwriters Inc.	301391	Agent - Property	3/29/2024
Active	Liberty Mutual Insurance Company	301159	Agent - Casualty	3/29/2024
Active	Liberty Mutual Insurance Company	301159	Agent - Property	3/29/2024
Active	Milford Casualty Insurance Company	301460	Agent - Casualty	12/29/2023
Active	Milford Casualty Insurance Company	301460	Agent - Property	12/29/2023
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	5/6/2024
Active	Progressive Casualty Insurance Company	300696	Agent - Property	5/6/2024
Active	Security National Insurance Company	301151	Agent - Casualty	12/29/2023
Active	Security National Insurance Company	301151	Agent - Property	12/29/2023
Active	Sequoia Insurance Company	628046	Agent - Casualty	12/29/2023
Active	Sequoia Insurance Company	628046	Agent - Property	12/29/2023
Active	Starr Indemnity and Liability Company	301685	Agent - Casualty	4/1/2024
Active	Starr Indemnity and Liability Company	301685	Agent - Health	4/1/2024
Active	Starr Indemnity and Liability Company	301685	Agent - Property	4/1/2024
Active	Technology Insurance Company	613278	Agent - Casualty	12/29/2023
Active	Technology Insurance Company	613278	Agent - Property	12/29/2023
Active	United Financial Casualty Company	301886	Agent - Casualty	5/6/2024
Active	United Financial Casualty Company	301886	Agent - Property	5/6/2024
Active	Wesco Insurance Company	300534	Agent - Casualty	12/29/2023
Active	Wesco Insurance Company	300534	Agent - Property	12/29/2023

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Kolenda, Courtney Lynne	1022910	Agent - Casualty	12/14/2022
Active	Kolenda, Courtney Lynne	1022910	Agent - Health	12/14/2022
Active	Kolenda, Courtney Lynne	1022910	Agent - Life	12/14/2022
Active	Kolenda, Courtney Lynne	1022910	Agent - Property	12/14/2022
Active	Kolenda, Courtney Lynne	1022910	Surplus Lines Broker - Not Applicable	1/6/2023