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	ACE American Insurance Company	300625	Agent - Casualty	3/14/2025
Active	ACE American Insurance Company	300625	Agent - Property	3/14/2025
Active	ACE Fire Underwriters Insurance Company	301679	Agent - Casualty	3/14/2025
Active	ACE Fire Underwriters Insurance Company	301679	Agent - Property	3/14/2025
Active	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	3/14/2025
Active	ACE Property and Casualty Insurance Company	300520	Agent - Property	3/14/2025
Active	AIG Property Casualty Company	300621	Agent - Casualty	8/19/2024
Active	AIG Property Casualty Company	300621	Agent - Property	8/19/2024
Active	Accendo Insurance Company	300312	Agent - Life	8/12/2024
Active	Addison Insurance Company	874810	Agent - Casualty	8/23/2024
Active	Addison Insurance Company	874810	Agent - Property	8/23/2024
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	8/12/2024
Active	All Savers Insurance Company	301940	Agent - Health	7/11/2024
Active	All Savers Insurance Company	301940	Agent - Life	7/11/2024
Active	Allmerica Financial Alliance Insurance Company	300823	Agent - Casualty	10/29/2024
Active	Allmerica Financial Alliance Insurance Company	300823	Agent - Property	10/29/2024
Active	Allmerica Financial Benefit Insurance Company	301223	Agent - Casualty	10/29/2024
Active	Allmerica Financial Benefit Insurance Company	301223	Agent - Property	10/29/2024
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	Auto-Owners Insurance Company	301480	Agent - Casualty	10/4/2024
Active	Auto-Owners Insurance Company	301480	Agent - Property	10/4/2024
Active	Bankers Standard Insurance Company	301620	Agent - Casualty	3/14/2025
Active	Bankers Standard Insurance Company	301620	Agent - Property	3/14/2025
Active	Chubb Indemnity Insurance Company	300438	Agent - Casualty	3/14/2025
Active	Chubb Indemnity Insurance Company	300438	Agent - Property	3/14/2025
Active	Chubb National Insurance Company	301392	Agent - Casualty	3/14/2025
Active	Chubb National Insurance Company	301392	Agent - Property	3/14/2025
Active	Cincinnati Casualty Company (The)	300308	Agent - Casualty	11/21/2024
Active	Cincinnati Casualty Company (The)	300308	Agent - Property	11/21/2024
Active	Cincinnati Indemnity Company (The)	301566	Agent - Casualty	11/21/2024
Active	Cincinnati Indemnity Company (The)	301566	Agent - Property	11/21/2024
Active	Cincinnati Insurance Company	301298	Agent - Casualty	11/21/2024
Active	Cincinnati Insurance Company	301298	Agent - Property	11/21/2024
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	1/24/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	8/12/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	8/12/2024
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	Executive Risk Indemnity Inc.	301510	Agent - Casualty	3/14/2025
Active	Executive Risk Indemnity Inc.	301510	Agent - Property	3/14/2025
Active	Federal Insurance Company	301144	Agent - Casualty	3/14/2025
Active	Federal Insurance Company	301144	Agent - Property	3/14/2025
Active	Great Northern Insurance Company	301107	Agent - Casualty	3/14/2025
Active	Great Northern Insurance Company	301107	Agent - Property	3/14/2025
Active	Hanover American Insurance Company (The)	300447	Agent - Casualty	10/29/2024
Active	Hanover American Insurance Company (The)	300447	Agent - Property	10/29/2024
Active	Hanover Insurance Company (The)	300508	Agent - Casualty	10/29/2024
Active	Hanover Insurance Company (The)	300508	Agent - Property	10/29/2024
Active	Indemnity Insurance Company of North America	301760	Agent - Casualty	3/14/2025
Active	Indemnity Insurance Company of North America	301760	Agent - Property	3/14/2025
Active	Insurance Company of the State of Pennsylvania	300807	Agent - Casualty	8/6/2024
Active	Insurance Company of the State of Pennsylvania	300807	Agent - Property	8/6/2024
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	Massachusetts Bay Insurance Company	300898	Agent - Casualty	10/29/2024
Active	Massachusetts Bay Insurance Company	300898	Agent - Property	10/29/2024
Active	Milford Casualty Insurance Company	301460	Agent - Casualty	12/29/2023
Active	Milford Casualty Insurance Company	301460	Agent - Property	12/29/2023
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	8/6/2024
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	8/6/2024
Active	Pacific Employers Insurance Company	301753	Agent - Casualty	3/14/2025
Active	Pacific Employers Insurance Company	301753	Agent - Property	3/14/2025
Active	Pacific Indemnity Company	301610	Agent - Casualty	3/14/2025
Active	Pacific Indemnity Company	301610	Agent - Property	3/14/2025
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	Selective Insurance Company of the Southeast	300381	Agent - Casualty	12/4/2024
Active	Selective Insurance Company of the Southeast	300381	Agent - Property	12/4/2024
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	United Fire & Casualty Company	301374	Agent - Casualty	8/23/2024
Active	United Fire & Casualty Company	301374	Agent - Property	8/23/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	7/11/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	7/11/2024
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/11/2024
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	7/11/2024
Active	Verlan Fire Insurance Company	517102	Agent - Casualty	10/29/2024
Active	Verlan Fire Insurance Company	517102	Agent - Property	10/29/2024
Active	Vigilant Insurance Company	301143	Agent - Casualty	3/14/2025
Active	Vigilant Insurance Company	301143	Agent - Property	3/14/2025
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	2/1/2025
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	2/1/2025
Active	Wesco Insurance Company	300534	Agent - Casualty	12/29/2023
Active	Wesco Insurance Company	300534	Agent - Property	12/29/2023
Active	Westchester Fire Insurance Company	300990	Agent - Casualty	3/14/2025
Active	Westchester Fire Insurance Company	300990	Agent - Property	3/14/2025

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Pending	Clute, Kristina	1063462	Agent - Casualty
Pending	Clute, Kristina	1063462	Agent - Property
Active	Fulgaro, Anthony	737828	Agent - Casualty	1/27/2025
Active	Fulgaro, Anthony	737828	Agent - Property	1/27/2025
Pending	Harrington, Mark	1337320	Agent - Casualty
Pending	Harrington, Mark	1337320	Agent - Health
Pending	Harrington, Mark	1337320	Agent - Life
Pending	Harrington, Mark	1337320	Agent - Property
Active	Hoven, Andrew R	682525	Agent - Casualty	1/27/2025
Active	Hoven, Andrew R	682525	Agent - Health	1/27/2025
Pending	Hoven, Andrew R	682525	Agent - Life
Active	Hoven, Andrew R	682525	Agent - Property	1/27/2025
Pending	Hunter, Travis	1015898	Agent - Health
Pending	Hunter, Travis	1015898	Agent - Life
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
Active	Oaks, Randy L	1290282	Agent - Casualty	1/29/2025
Active	Oaks, Randy L	1290282	Agent - Property	1/29/2025
Active	Oaks, Randy L	1290282	Surplus Lines Broker - Not Applicable	1/29/2025
Active	Samms, Noel Winston	1057104	Agent - Casualty	1/29/2025
Active	Samms, Noel Winston	1057104	Agent - Property	1/29/2025
Pending	Taggart, Clinton	1363730	Agent - Casualty
Pending	Taggart, Clinton	1363730	Agent - Health
Pending	Taggart, Clinton	1363730	Agent - Life
Pending	Taggart, Clinton	1363730	Agent - Property