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	Casualty	1/11/2023	3/31/2025
Active	Non Resident	Agent	Health	1/11/2023	3/31/2025
Active	Non Resident	Agent	Property	1/11/2023	3/31/2025
Active	Non Resident	Agent	Life	1/11/2023	3/31/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	1/19/2023	3/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2025	03/31/2025
Surplus Lines Broker	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active 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	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
Active	Anthem Life Insurance Company	301209	Agent - Health	1/18/2024
Active	Anthem Life Insurance Company	301209	Agent - Life	1/18/2024
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	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	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	Illinois National Insurance Company	301367	Agent - Casualty	1/30/2024
Active	Illinois National Insurance Company	301367	Agent - Property	1/30/2024
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	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	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	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	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	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	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	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