DEPARTMENT OF INSURANCE

Affiliations

Name	Workforce Insurance Underwriters LLC	DOIID	1255532	NAIC NPN	20606355

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	2/9/2023	11/13/2025
Inactive	Non Resident	Agent	Health	2/9/2023	11/13/2025
Inactive	Non Resident	Agent	Life	2/9/2023	11/13/2025
Inactive	Non Resident	Agent	Casualty	2/9/2023	11/13/2025
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	2/9/2023	11/13/2025
* 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
Inactive	AIG Assurance Company	300897	Agent - Casualty	5/1/2023	5/14/2025
Inactive	AIG Assurance Company	300897	Agent - Health	5/1/2023	5/14/2025
Inactive	AIG Assurance Company	300897	Agent - Property	5/1/2023	5/14/2025
Inactive	AIG Property Casualty Company	300621	Agent - Casualty	5/1/2023	5/14/2025
Inactive	AIG Property Casualty Company	300621	Agent - Health	5/1/2023	5/14/2025
Inactive	AIG Property Casualty Company	300621	Agent - Property	5/1/2023	5/14/2025
Inactive	AIU Insurance Company	300729	Agent - Casualty	5/1/2023	5/14/2025
Inactive	AIU Insurance Company	300729	Agent - Property	5/1/2023	5/14/2025
Inactive	American Home Assurance Company	300246	Agent - Casualty	5/1/2023	5/14/2025
Inactive	American Home Assurance Company	300246	Agent - Health	5/1/2023	5/14/2025
Inactive	American Home Assurance Company	300246	Agent - Property	5/1/2023	5/14/2025
Inactive	Commerce and Industry Insurance Company	300881	Agent - Casualty	5/1/2023	5/14/2025
Inactive	Commerce and Industry Insurance Company	300881	Agent - Health	5/1/2023	5/14/2025
Inactive	Commerce and Industry Insurance Company	300881	Agent - Property	5/1/2023	5/14/2025
Inactive	Granite State Insurance Company	300818	Agent - Casualty	5/1/2023	5/14/2025
Inactive	Granite State Insurance Company	300818	Agent - Health	5/1/2023	5/14/2025
Inactive	Granite State Insurance Company	300818	Agent - Property	5/1/2023	5/14/2025
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	5/1/2023	5/14/2025
Inactive	Illinois National Insurance Company	301367	Agent - Health	5/1/2023	5/14/2025
Inactive	Illinois National Insurance Company	301367	Agent - Property	5/1/2023	5/14/2025
Inactive	Insurance Company of the State of Pennsylvania	300807	Agent - Casualty	5/1/2023	5/14/2025
Inactive	Insurance Company of the State of Pennsylvania	300807	Agent - Health	5/1/2023	5/14/2025
Inactive	Insurance Company of the State of Pennsylvania	300807	Agent - Property	5/1/2023	5/14/2025
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	5/1/2023	11/13/2025
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	5/1/2023	11/13/2025
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	5/1/2023	11/13/2025
Inactive	New Hampshire Insurance Company	301670	Agent - Casualty	5/1/2023	5/14/2025
Inactive	New Hampshire Insurance Company	301670	Agent - Health	5/1/2023	5/14/2025
Inactive	New Hampshire Insurance Company	301670	Agent - Property	5/1/2023	5/14/2025
Inactive	United States Fire Insurance Company	582240	Agent - Casualty	2/27/2023	11/13/2025
Inactive	United States Fire Insurance Company	582240	Agent - Health	2/27/2023	11/13/2025
Inactive	United States Fire Insurance Company	582240	Agent - Property	2/27/2023	11/13/2025

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Obregon, James M	542419	Agent - Casualty	2/9/2023	11/13/2025
Inactive	Obregon, James M	542419	Agent - Health	2/9/2023	11/13/2025
Inactive	Obregon, James M	542419	Agent - Life	2/9/2023	11/13/2025
Inactive	Obregon, James M	542419	Agent - Property	2/9/2023	11/13/2025
Active	Obregon, James M	542419	Surplus Lines Broker - Not Applicable	2/9/2023