DEPARTMENT OF INSURANCE

Affiliations

Name	Acrisure West Insurance Services, LLC	DOIID	1246860	NAIC NPN	20558632

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	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	Property	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	Inactive Date
Active	AIG Assurance Company	300897	Agent - Casualty	2/9/2024
Active	AIG Assurance Company	300897	Agent - Property	2/9/2024
Active	AIG Property Casualty Company	300621	Agent - Casualty	2/9/2024
Active	AIG Property Casualty Company	300621	Agent - Property	2/9/2024
Active	AIU Insurance Company	300729	Agent - Casualty	2/9/2024
Active	AIU Insurance Company	300729	Agent - Property	2/9/2024
Active	All Savers Insurance Company	301940	Agent - Health	2/4/2025
Active	All Savers Insurance Company	301940	Agent - Life	2/4/2025
Active	AmTrust Insurance Company	300179	Agent - Casualty	12/29/2023
Active	AmTrust Insurance Company	300179	Agent - Property	12/29/2023
Active	American Family Home Insurance Company	301817	Agent - Casualty	3/3/2025
Active	American Family Home Insurance Company	301817	Agent - Property	3/3/2025
Active	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	12/27/2023
Active	American Guarantee and Liability Insurance Company	301216	Agent - Property	12/27/2023
Active	American Home Assurance Company	300246	Agent - Casualty	2/9/2024
Active	American Home Assurance Company	300246	Agent - Property	2/9/2024
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	1/25/2024
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	1/25/2024
Active	American Zurich Insurance Company	300592	Agent - Casualty	12/27/2023
Active	American Zurich Insurance Company	300592	Agent - Property	12/27/2023
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/5/2024	12/16/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	1/5/2024	12/16/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Health	1/5/2024	12/16/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Life	1/5/2024	12/16/2024
Active	Arch Indemnity Insurance Company	301459	Agent - Casualty	1/15/2025
Active	Arch Indemnity Insurance Company	301459	Agent - Property	1/15/2025
Active	Arch Insurance Company	300688	Agent - Casualty	1/15/2025
Active	Arch Insurance Company	300688	Agent - Property	1/15/2025
Active	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	11/21/2024
Active	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	11/21/2024
Active	Colonial American Casualty & Surety Company	300769	Agent - Casualty	12/27/2023
Active	Colonial American Casualty & Surety Company	300769	Agent - Property	12/27/2023
Active	Commerce and Industry Insurance Company	300881	Agent - Casualty	2/9/2024
Active	Commerce and Industry Insurance Company	300881	Agent - Property	2/9/2024
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	1/5/2024	12/16/2024
Active	Continental Casualty Company	301019	Agent - Casualty	11/11/2024
Active	Continental Casualty Company	301019	Agent - Property	11/11/2024
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	Everest Denali Insurance Company	941054	Agent - Casualty	4/7/2025
Active	Everest Denali Insurance Company	941054	Agent - Property	4/7/2025
Active	Everest National Insurance Company	301319	Agent - Casualty	4/7/2025
Active	Everest National Insurance Company	301319	Agent - Property	4/7/2025
Active	Everest Premier Insurance Company	941053	Agent - Casualty	4/7/2025
Active	Everest Premier Insurance Company	941053	Agent - Property	4/7/2025
Active	Everest Reinsurance Company	301836	Agent - Health	4/7/2025
Active	Fidelity and Deposit Company of Maryland	300976	Agent - Casualty	12/27/2023
Active	Fidelity and Deposit Company of Maryland	300976	Agent - Property	12/27/2023
Active	Granite State Insurance Company	300818	Agent - Casualty	2/9/2024
Active	Granite State Insurance Company	300818	Agent - Property	2/9/2024
Active	Illinois National Insurance Company	301367	Agent - Casualty	2/9/2024
Active	Illinois National Insurance Company	301367	Agent - Property	2/9/2024
Active	Insurance Company of the State of Pennsylvania	300807	Agent - Casualty	2/9/2024
Active	Insurance Company of the State of Pennsylvania	300807	Agent - Property	2/9/2024
Active	Markel Insurance Company	301475	Agent - Casualty	2/26/2024
Active	Markel Insurance Company	301475	Agent - Health	2/26/2024
Active	Markel Insurance Company	301475	Agent - Property	2/26/2024
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	2/9/2024
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	2/9/2024
Active	New Hampshire Insurance Company	301670	Agent - Casualty	2/9/2024
Active	New Hampshire Insurance Company	301670	Agent - Property	2/9/2024
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	Standard Fire Insurance Company (The)	301068	Agent - Casualty	11/21/2024
Active	Standard Fire Insurance Company (The)	301068	Agent - Property	11/21/2024
Active	Standard Insurance Company	300185	Agent - Health	12/27/2024
Active	Standard Insurance Company	300185	Agent - Life	12/27/2024
Active	Starr Indemnity and Liability Company	301685	Agent - Casualty	3/29/2024
Active	Starr Indemnity and Liability Company	301685	Agent - Health	3/29/2024
Active	Starr Indemnity and Liability Company	301685	Agent - Property	3/29/2024
Active	Technology Insurance Company	613278	Agent - Casualty	12/29/2023
Active	Technology Insurance Company	613278	Agent - Property	12/29/2023
Active	The Phoenix Insurance Company	301502	Agent - Casualty	11/21/2024
Active	The Phoenix Insurance Company	301502	Agent - Property	11/21/2024
Active	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	11/21/2024
Active	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	11/21/2024
Active	Travelers Personal Insurance Company	705785	Agent - Casualty	11/21/2024
Active	Travelers Personal Insurance Company	705785	Agent - Property	11/21/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	2/4/2025
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	2/4/2025
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	2/4/2025
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	2/4/2025
Active	Wesco Insurance Company	300534	Agent - Casualty	12/29/2023
Active	Wesco Insurance Company	300534	Agent - Property	12/29/2023
Active	Zurich American Insurance Company	301121	Agent - Casualty	12/27/2023
Active	Zurich American Insurance Company	301121	Agent - Property	12/27/2023
Active	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	12/27/2023
Active	Zurich American Insurance Company of Illinois	301805	Agent - Property	12/27/2023

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Pending	Anderson, Jennifer Suzanne	1306824	Agent - Casualty
Pending	Anderson, Jennifer Suzanne	1306824	Agent - Health
Pending	Anderson, Jennifer Suzanne	1306824	Agent - Life
Pending	Anderson, Jennifer Suzanne	1306824	Agent - Property
Active	Callaway, Steven Andrew	324349	Agent - Casualty	1/29/2025
Active	Callaway, Steven Andrew	324349	Agent - Property	1/29/2025
Pending	Hernandez, Mike	1061848	Agent - Casualty
Pending	Hernandez, Mike	1061848	Agent - Health
Pending	Hernandez, Mike	1061848	Agent - Life
Pending	Hernandez, Mike	1061848	Agent - Property
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
Pending	Tachine, Darren	1099984	Agent - Health
Pending	Tachine, Darren	1099984	Agent - Life
Active	Tradelius, Paul Carl	755951	Agent - Casualty	4/21/2025
Active	Tradelius, Paul Carl	755951	Agent - Property	4/21/2025