DEPARTMENT OF INSURANCE

Affiliations

Name	Acrisure Insurance Partners Services Of NY LLC	DOIID	1250681	NAIC NPN	20579102

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	1/11/2023	3/31/2027
Active	Non Resident	Agent	Property	1/11/2023	3/31/2027
Active	Non Resident	Agent	Casualty	1/11/2023	3/31/2027
Active	Non Resident	Agent	Life	1/11/2023	3/31/2027
Active	Non Resident	Surplus Lines Broker	Not Applicable	1/19/2023	3/31/2027
* 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	1/30/2024
Active	AIG Assurance Company	300897	Agent - Property	1/30/2024
Active	AIG Property Casualty Company	300621	Agent - Casualty	1/30/2024
Active	AIG Property Casualty Company	300621	Agent - Property	1/30/2024
Active	AIU Insurance Company	300729	Agent - Casualty	1/30/2024
Active	AIU Insurance Company	300729	Agent - Property	1/30/2024
Active	All Savers Insurance Company	301940	Agent - Health	2/7/2024
Active	All Savers Insurance Company	301940	Agent - Life	2/7/2024
Active	Allmerica Financial Alliance Insurance Company	300823	Agent - Casualty	11/4/2024
Active	Allmerica Financial Alliance Insurance Company	300823	Agent - Property	11/4/2024
Active	Allmerica Financial Benefit Insurance Company	301223	Agent - Casualty	11/4/2024
Active	Allmerica Financial Benefit Insurance Company	301223	Agent - Property	11/4/2024
Active	AmTrust Insurance Company	300179	Agent - Casualty	12/29/2023
Active	AmTrust Insurance Company	300179	Agent - Property	12/29/2023
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	1/30/2024
Active	American Home Assurance Company	300246	Agent - Property	1/30/2024
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	1/24/2024
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	1/24/2024
Active	American Zurich Insurance Company	300592	Agent - Casualty	12/27/2023
Active	American Zurich Insurance Company	300592	Agent - Property	12/27/2023
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/18/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	1/18/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Health	1/18/2024	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	1/18/2024	4/15/2025
Active	Arch Indemnity Insurance Company	301459	Agent - Casualty	2/5/2025
Active	Arch Indemnity Insurance Company	301459	Agent - Property	2/5/2025
Active	Arch Insurance Company	300688	Agent - Casualty	2/5/2025
Active	Arch Insurance Company	300688	Agent - Property	2/5/2025
Active	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	10/18/2024
Active	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	10/18/2024
Active	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	4/3/2025
Active	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	4/3/2025
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	1/30/2024
Active	Commerce and Industry Insurance Company	300881	Agent - Property	1/30/2024
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	1/19/2024
Active	Employers Assurance Company	300120	Agent - Casualty	4/11/2024
Active	Employers Compensation Insurance Company	797885	Agent - Casualty	4/11/2024
Active	Employers Preferred Insurance Company	520656	Agent - Casualty	4/11/2024
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	1/30/2024
Active	Granite State Insurance Company	300818	Agent - Property	1/30/2024
Active	Hanover American Insurance Company (The)	300447	Agent - Casualty	11/4/2024
Active	Hanover American Insurance Company (The)	300447	Agent - Property	11/4/2024
Active	Hanover Insurance Company (The)	300508	Agent - Casualty	11/4/2024
Active	Hanover Insurance Company (The)	300508	Agent - Property	11/4/2024
Active	Illinois National Insurance Company	301367	Agent - Casualty	1/30/2024
Active	Illinois National Insurance Company	301367	Agent - Property	1/30/2024
Active	Independence American Insurance Company	524747	Agent - Casualty	1/17/2025
Active	Independence American Insurance Company	524747	Agent - Property	1/17/2025
Active	Insurance Company of the State of Pennsylvania	300807	Agent - Casualty	1/30/2024
Active	Insurance Company of the State of Pennsylvania	300807	Agent - Property	1/30/2024
Active	Manufacturers Alliance Insurance Company	519940	Agent - Casualty	10/4/2023
Active	Manufacturers Alliance Insurance Company	519940	Agent - Property	10/4/2023
Active	Massachusetts Bay Insurance Company	300898	Agent - Casualty	11/4/2024
Active	Massachusetts Bay Insurance Company	300898	Agent - Property	11/4/2024
Active	Milford Casualty Insurance Company	301460	Agent - Casualty	12/29/2023
Active	Milford Casualty Insurance Company	301460	Agent - Property	12/29/2023
Active	Mount Vernon Fire Insurance Company	301397	Agent - Casualty	4/1/2025
Active	Mount Vernon Fire Insurance Company	301397	Agent - Property	4/1/2025
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	1/30/2024
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	1/30/2024
Active	New Hampshire Insurance Company	301670	Agent - Casualty	1/30/2024
Active	New Hampshire Insurance Company	301670	Agent - Property	1/30/2024
Active	Pennsylvania Manufacturers Association Insurance Company	300228	Agent - Casualty	10/4/2023
Active	Pennsylvania Manufacturers Association Insurance Company	300228	Agent - Property	10/4/2023
Active	Pennsylvania Manufacturers Indemnity Company	519939	Agent - Casualty	10/4/2023
Active	Pennsylvania Manufacturers Indemnity Company	519939	Agent - Property	10/4/2023
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	4/5/2024
Active	Progressive Casualty Insurance Company	300696	Agent - Property	4/5/2024
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 America	500018	Agent - Casualty	3/19/2025
Active	Selective Insurance Company of America	500018	Agent - Property	3/19/2025
Active	Selective Insurance Company of South Carolina	500012	Agent - Casualty	3/19/2025
Active	Selective Insurance Company of South Carolina	500012	Agent - Property	3/19/2025
Active	Selective Insurance Company of the Southeast	300381	Agent - Casualty	11/13/2024
Active	Selective Insurance Company of the Southeast	300381	Agent - Property	11/13/2024
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	10/18/2024
Active	Standard Fire Insurance Company (The)	301068	Agent - Property	10/18/2024
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	10/18/2024
Active	The Phoenix Insurance Company	301502	Agent - Property	10/18/2024
Active	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	10/18/2024
Active	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	10/18/2024
Active	Travelers Indemnity Company (The)	301855	Agent - Casualty	4/3/2025
Active	Travelers Indemnity Company (The)	301855	Agent - Property	4/3/2025
Active	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	4/3/2025
Active	Travelers Indemnity Company of America (The)	301093	Agent - Property	4/3/2025
Active	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	4/3/2025
Active	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	4/3/2025
Active	Travelers Property Casualty Company of America	301649	Agent - Casualty	4/3/2025
Active	Travelers Property Casualty Company of America	301649	Agent - Property	4/3/2025
Active	United Financial Casualty Company	301886	Agent - Casualty	4/5/2024
Active	United Financial Casualty Company	301886	Agent - Property	4/5/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	2/7/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	2/7/2024
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	2/7/2024
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	2/7/2024
Active	Verlan Fire Insurance Company	517102	Agent - Casualty	11/4/2024
Active	Verlan Fire Insurance Company	517102	Agent - Property	11/4/2024
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
Active	Azar, Hyman	1257098	Agent - Health	1/29/2025
Active	Azar, Hyman	1257098	Agent - Life	1/29/2025
Active	Brunell, Ronald M	328746	Agent - Casualty	1/29/2025
Active	Brunell, Ronald M	328746	Agent - Health	3/17/2025
Denied	Brunell, Ronald M	328746	Agent - Life
Active	Brunell, Ronald M	328746	Agent - Property	1/29/2025
Active	Colby, Brian M	1030789	Agent - Casualty	5/28/2025
Active	Colby, Brian M	1030789	Agent - Property	5/28/2025
Pending	Costanzo, Michael Steven	1197456	Agent - Casualty
Pending	Costanzo, Michael Steven	1197456	Agent - Property
Active	Craycraft, Lydia A	1278879	Agent - Casualty	6/24/2025
Active	Craycraft, Lydia A	1278879	Agent - Property	6/24/2025
Denied	Daniels, Michael J	745767	Agent - Casualty
Denied	Daniels, Michael J	745767	Agent - Property
Denied	Dougherty, Heather A	959942	Agent - Casualty
Denied	Dougherty, Heather A	959942	Agent - Property
Pending	Duckworth, Kenya Marie	1249085	Agent - Casualty
Pending	Duckworth, Kenya Marie	1249085	Agent - Life
Pending	Duckworth, Kenya Marie	1249085	Agent - Property
Pending	Goldstein, Daniel M	865950	Agent - Casualty
Pending	Goldstein, Daniel M	865950	Agent - Health
Pending	Goldstein, Daniel M	865950	Agent - Life
Pending	Goldstein, Daniel M	865950	Agent - Property
Active	Hastava, Michael	1125777	Agent - Casualty	5/28/2025
Pending	Hastava, Michael	1125777	Agent - Health
Pending	Hastava, Michael	1125777	Agent - Life
Active	Hastava, Michael	1125777	Agent - Property	5/28/2025
Active	Kolenda, Courtney Lynne	1022910	Agent - Casualty	1/11/2023
Active	Kolenda, Courtney Lynne	1022910	Agent - Health	1/11/2023
Active	Kolenda, Courtney Lynne	1022910	Agent - Life	1/11/2023
Active	Kolenda, Courtney Lynne	1022910	Agent - Property	1/11/2023
Active	Kolenda, Courtney Lynne	1022910	Surplus Lines Broker - Not Applicable	1/19/2023
Denied	Lika, Metin	942063	Agent - Casualty
Denied	Lika, Metin	942063	Agent - Property
Active	Mc Evily, Michael	1209086	Agent - Casualty	1/28/2025
Active	Mc Evily, Michael	1209086	Agent - Property	1/28/2025
Active	Metzger, James Conrad	353993	Agent - Casualty	1/28/2025
Active	Metzger, James Conrad	353993	Agent - Property	1/28/2025
Pending	Mynatt, Mcguire	1199096	Agent - Health
Active	Mynatt, Mcguire	1199096	Agent - Life	6/24/2025
Active	Potter, Darryl	1085904	Agent - Casualty	6/17/2025
Active	Potter, Darryl	1085904	Agent - Property	6/17/2025
Active	Ryan, Andrew	942074	Agent - Casualty	1/27/2025
Denied	Ryan, Andrew	942074	Agent - Health
Denied	Ryan, Andrew	942074	Agent - Life
Active	Ryan, Andrew	942074	Agent - Property	1/27/2025
Active	Ryan, Andrew	942074	Surplus Lines Broker - Not Applicable	1/27/2025
Pending	Sessa, Rosalba	1262200	Agent - Casualty
Pending	Sessa, Rosalba	1262200	Agent - Property
Active	Sessa, Rosalba	1262200	Surplus Lines Broker - Not Applicable	4/14/2025
Active	Sforzo, Joseph	1261469	Agent - Casualty	1/28/2025
Active	Sforzo, Joseph	1261469	Agent - Property	1/28/2025
Pending	Sohigian, Paul G	1343667	Agent - Casualty
Pending	Sohigian, Paul G	1343667	Agent - Property
Active	Sohigian, Paul G	1343667	Surplus Lines Broker - Not Applicable	3/7/2025
Denied	Tarpey, Brian Gerard	1327812	Agent - Health