DEPARTMENT OF INSURANCE

Affiliations

Name	Acrisure Midwest Partners Insurance Services LLC	DOIID	1270948	NAIC NPN	20687166

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	4/26/2023	3/31/2027
Active	Non Resident	Agent	Casualty	4/26/2023	3/31/2027
Active	Non Resident	Agent	Health	4/26/2023	3/31/2027
Active	Non Resident	Agent	Property	4/26/2023	3/31/2027
Active	Non Resident	Surplus Lines Broker	Not Applicable	5/22/2023	3/31/2027
* 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	01/15/2027	03/31/2027
Surplus Lines Broker	01/15/2027	03/31/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACE American Insurance Company	300625	Agent - Casualty	8/19/2025
Active	ACE American Insurance Company	300625	Agent - Property	8/19/2025
Active	ACE Fire Underwriters Insurance Company	301679	Agent - Casualty	8/19/2025
Active	ACE Fire Underwriters Insurance Company	301679	Agent - Property	8/19/2025
Active	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	8/19/2025
Active	ACE Property and Casualty Insurance Company	300520	Agent - Property	8/19/2025
Active	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	10/15/2024
Active	ACUITY, A Mutual Insurance Company	300095	Agent - Property	10/15/2024
Active	AIG Property Casualty Company	300621	Agent - Casualty	10/10/2024
Active	AIG Property Casualty Company	300621	Agent - Property	10/10/2024
Active	AMCO Insurance Company	300204	Agent - Casualty	4/6/2026
Active	AMCO Insurance Company	300204	Agent - Property	4/6/2026
Active	Addison Insurance Company	874810	Agent - Casualty	8/20/2025
Active	Addison Insurance Company	874810	Agent - Property	8/20/2025
Active	Aetna Health Inc. (PA)	660717	Agent - Health	8/21/2025
Active	Aetna Life Insurance Company	301140	Agent - Health	8/21/2025
Active	All Savers Insurance Company	301940	Agent - Health	3/11/2025
Active	All Savers Insurance Company	301940	Agent - Life	3/11/2025
Active	Allied Insurance Company of America	793586	Agent - Casualty	4/6/2026
Active	Allied Insurance Company of America	793586	Agent - Property	4/6/2026
Active	Allied Property and Casualty Insurance Company	300279	Agent - Casualty	4/6/2026
Active	Allied Property and Casualty Insurance Company	300279	Agent - Property	4/6/2026
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	AmGUARD Insurance Company	500010	Agent - Casualty	11/12/2024
Active	AmGUARD Insurance Company	500010	Agent - Property	11/12/2024
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	7/23/2024
Active	American Family Home Insurance Company	301817	Agent - Property	7/23/2024
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	12/22/2025
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	12/22/2025
Active	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	3/3/2026
Active	American Guarantee and Liability Insurance Company	301216	Agent - Property	3/3/2026
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	3/3/2026
Active	American Zurich Insurance Company	300592	Agent - Property	3/3/2026
Active	Ansur America Insurance Company	520667	Agent - Casualty	6/1/2026
Active	Ansur America Insurance Company	520667	Agent - Property	6/1/2026
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/5/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/5/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/5/2024	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/5/2024	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	Arch Property Casualty Insurance Company	523075	Agent - Casualty	2/5/2025
Active	Arch Property Casualty Insurance Company	523075	Agent - Property	2/5/2025
Inactive	Arch Wilsure Insurance Company	556753	Agent - Casualty	2/5/2025	3/4/2025
Inactive	Arch Wilsure Insurance Company	556753	Agent - Property	2/5/2025	3/4/2025
Active	Auto-Owners Insurance Company	301480	Agent - Casualty	7/1/2025
Active	Auto-Owners Insurance Company	301480	Agent - Property	7/1/2025
Active	Bankers Standard Insurance Company	301620	Agent - Casualty	8/19/2025
Active	Bankers Standard Insurance Company	301620	Agent - Property	8/19/2025
Active	Chubb Indemnity Insurance Company	300438	Agent - Casualty	8/19/2025
Active	Chubb Indemnity Insurance Company	300438	Agent - Property	8/19/2025
Active	Chubb National Insurance Company	301392	Agent - Casualty	8/19/2025
Active	Chubb National Insurance Company	301392	Agent - Property	8/19/2025
Active	Cincinnati Casualty Company (The)	300308	Agent - Casualty	11/13/2024
Active	Cincinnati Casualty Company (The)	300308	Agent - Property	11/13/2024
Active	Cincinnati Indemnity Company (The)	301566	Agent - Casualty	11/13/2024
Active	Cincinnati Indemnity Company (The)	301566	Agent - Property	11/13/2024
Active	Cincinnati Insurance Company	301298	Agent - Casualty	11/13/2024
Active	Cincinnati Insurance Company	301298	Agent - Property	11/13/2024
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/5/2024
Active	Continental Casualty Company	301019	Agent - Casualty	7/14/2025
Active	Continental Casualty Company	301019	Agent - Property	7/14/2025
Active	Continental Insurance Company (The)	301242	Agent - Casualty	12/22/2025
Active	Continental Insurance Company (The)	301242	Agent - Property	12/22/2025
Active	Depositors Insurance Company	301634	Agent - Casualty	4/6/2026
Active	Depositors Insurance Company	301634	Agent - Property	4/6/2026
Inactive	Employers Assurance Company	300120	Agent - Casualty	4/2/2024	12/23/2025
Inactive	Employers Compensation Insurance Company	797885	Agent - Casualty	4/2/2024	12/23/2025
Inactive	Employers Preferred Insurance Company	520656	Agent - Casualty	4/2/2024	12/23/2025
Active	Encompass Insurance Company	300188	Agent - Casualty	2/9/2026
Active	Encompass Insurance Company	300188	Agent - Property	2/9/2026
Active	Everest Denali Insurance Company	941054	Agent - Casualty	4/4/2025
Active	Everest Denali Insurance Company	941054	Agent - Property	4/4/2025
Active	Everest Reinsurance Company	301836	Agent - Health	4/4/2025
Active	Farmington Casualty Company	301137	Agent - Casualty	2/13/2026
Active	Farmington Casualty Company	301137	Agent - Property	2/13/2026
Active	Federal Insurance Company	301144	Agent - Casualty	8/19/2025
Active	Federal Insurance Company	301144	Agent - Property	8/19/2025
Active	Frankenmuth Insurance Company	301481	Agent - Casualty	6/1/2026
Active	Frankenmuth Insurance Company	301481	Agent - Property	6/1/2026
Active	Great Northern Insurance Company	301107	Agent - Casualty	8/19/2025
Active	Great Northern Insurance Company	301107	Agent - Property	8/19/2025
Active	Great West Casualty Company	301015	Agent - Casualty	9/3/2025
Active	Great West Casualty Company	301015	Agent - Property	9/3/2025
Active	GuideOne Elite Insurance Company	300490	Agent - Casualty	6/2/2025
Active	GuideOne Elite Insurance Company	300490	Agent - Property	6/2/2025
Active	GuideOne Insurance Company	301794	Agent - Casualty	6/2/2025
Active	GuideOne Insurance Company	301794	Agent - Property	6/2/2025
Active	GuideOne Specialty Insurance Company	300278	Agent - Casualty	6/2/2025
Active	GuideOne Specialty Insurance Company	300278	Agent - Property	6/2/2025
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	Illinois Casualty Company	1250052	Agent - Casualty	10/8/2025
Active	Illinois Casualty Company	1250052	Agent - Property	10/8/2025
Active	Indemnity Insurance Company of North America	301760	Agent - Casualty	8/19/2025
Active	Indemnity Insurance Company of North America	301760	Agent - Property	8/19/2025
Active	Independence American Insurance Company	524747	Agent - Casualty	4/17/2026
Active	Independence American Insurance Company	524747	Agent - Property	4/17/2026
Active	Integon General Insurance Corporation	301186	Agent - Casualty	2/9/2026
Active	Integon General Insurance Corporation	301186	Agent - Property	2/9/2026
Active	Integon Indemnity Corporation	300674	Agent - Casualty	2/9/2026
Active	Integon Indemnity Corporation	300674	Agent - Property	2/9/2026
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 Specialty Insurance Company	300993	Agent - Casualty	2/10/2026
Active	National Specialty Insurance Company	300993	Agent - Property	2/10/2026
Active	Nationwide Agribusiness Insurance Company	301008	Agent - Casualty	4/6/2026
Active	Nationwide Agribusiness Insurance Company	301008	Agent - Property	4/6/2026
Active	Nationwide Assurance Company	300166	Agent - Casualty	4/6/2026
Active	Nationwide Assurance Company	300166	Agent - Property	4/6/2026
Active	Nationwide General Insurance Company	300603	Agent - Casualty	4/6/2026
Active	Nationwide General Insurance Company	300603	Agent - Property	4/6/2026
Active	Nationwide Insurance Company of America	300333	Agent - Casualty	4/6/2026
Active	Nationwide Insurance Company of America	300333	Agent - Property	4/6/2026
Active	Nationwide Mutual Insurance Company	301749	Agent - Casualty	4/6/2026
Active	Nationwide Mutual Insurance Company	301749	Agent - Property	4/6/2026
Active	Nationwide Property and Casualty Insurance Company	300599	Agent - Casualty	4/6/2026
Active	Nationwide Property and Casualty Insurance Company	300599	Agent - Property	4/6/2026
Active	Next Insurance US Company	1083825	Agent - Casualty	2/11/2026
Active	Next Insurance US Company	1083825	Agent - Property	2/11/2026
Active	NorGUARD Insurance Company	500015	Agent - Casualty	11/12/2024
Active	Owners Insurance Company	300796	Agent - Casualty	7/1/2025
Active	Owners Insurance Company	300796	Agent - Property	7/1/2025
Active	Pacific Employers Insurance Company	301753	Agent - Casualty	8/19/2025
Active	Pacific Employers Insurance Company	301753	Agent - Property	8/19/2025
Active	Pacific Indemnity Company	301610	Agent - Casualty	8/19/2025
Active	Pacific Indemnity Company	301610	Agent - Property	8/19/2025
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	11/15/2024
Active	Progressive Casualty Insurance Company	300696	Agent - Property	11/15/2024
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	6/11/2026
Active	SAFECO Insurance Company of America	300159	Agent - Property	6/11/2026
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	11/14/2024
Active	Selective Insurance Company of the Southeast	300381	Agent - Property	11/14/2024
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	3/20/2025
Active	Standard Fire Insurance Company (The)	301068	Agent - Property	3/20/2025
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	State National Insurance Company, Inc.	300888	Agent - Casualty	2/10/2026
Active	State National Insurance Company, Inc.	300888	Agent - Property	2/10/2026
Active	TNUS Insurance Company	593776	Agent - Casualty	4/20/2026
Active	TNUS Insurance Company	593776	Agent - Property	4/20/2026
Active	Technology Insurance Company	613278	Agent - Casualty	12/29/2023
Active	Technology Insurance Company	613278	Agent - Property	12/29/2023
Active	Tokio Marine America Insurance Company	786458	Agent - Casualty	4/20/2026
Active	Tokio Marine America Insurance Company	786458	Agent - Property	4/20/2026
Active	Trans Pacific Insurance Company	300076	Agent - Casualty	4/20/2026
Active	Trans Pacific Insurance Company	300076	Agent - Property	4/20/2026
Active	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	3/26/2025
Active	Travelers Casualty and Surety Company of America	301334	Agent - Property	3/26/2025
Active	Travelers Personal Insurance Company	705785	Agent - Casualty	3/19/2026
Active	Travelers Personal Insurance Company	705785	Agent - Property	3/19/2026
Active	Travelers Property Casualty Company of America	301649	Agent - Casualty	3/19/2026
Active	Travelers Property Casualty Company of America	301649	Agent - Property	3/19/2026
Active	United Financial Casualty Company	301886	Agent - Casualty	11/15/2024
Active	United Financial Casualty Company	301886	Agent - Property	11/15/2024
Active	United Fire & Casualty Company	301374	Agent - Casualty	8/20/2025
Active	United Fire & Casualty Company	301374	Agent - Property	8/20/2025
Active	United of Omaha Life Insurance Company	300156	Agent - Health	7/14/2025
Active	United of Omaha Life Insurance Company	300156	Agent - Life	7/14/2025
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	3/11/2025
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	3/11/2025
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	3/11/2025
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	3/11/2025
Active	Valley Forge Insurance Company	301052	Agent - Casualty	3/9/2026
Active	Valley Forge Insurance Company	301052	Agent - Property	3/9/2026
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	8/19/2025
Active	Vigilant Insurance Company	301143	Agent - Property	8/19/2025
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	8/19/2025
Active	Westchester Fire Insurance Company	300990	Agent - Property	8/19/2025
Active	Western Surety Company	300283	Agent - Casualty	11/17/2025
Active	Zurich American Insurance Company	301121	Agent - Casualty	3/3/2026
Active	Zurich American Insurance Company	301121	Agent - Property	3/3/2026
Active	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	3/3/2026
Active	Zurich American Insurance Company of Illinois	301805	Agent - Property	3/3/2026

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Artz, Natacha	1090930	Agent - Casualty	1/22/2025
Active	Artz, Natacha	1090930	Agent - Property	1/22/2025
Denied	Banks, Denise	1297680	Agent - Casualty
Denied	Banks, Denise	1297680	Agent - Health
Denied	Banks, Denise	1297680	Agent - Life
Denied	Banks, Denise	1297680	Agent - Property
Denied	Bradley, Ryan	1395344	Agent - Casualty
Denied	Bradley, Ryan	1395344	Agent - Property
Active	Brenneke, Shannon Marie	1363615	Agent - Health	5/27/2025
Denied	Brenneke, Shannon Marie	1363615	Agent - Life
Active	Brown, Edward	958197	Agent - Casualty	5/14/2025
Denied	Brown, Edward	958197	Agent - Health
Denied	Brown, Edward	958197	Agent - Life
Active	Brown, Edward	958197	Agent - Property	5/14/2025
Active	Crissie, Anthony F	307824	Agent - Casualty	5/28/2025
Active	Crissie, Anthony F	307824	Agent - Property	5/28/2025
Inactive	Cutraro, Nicole	1292953	Agent - Casualty	2/12/2025	12/11/2025
Denied	Cutraro, Nicole	1292953	Agent - Health
Denied	Cutraro, Nicole	1292953	Agent - Life
Inactive	Cutraro, Nicole	1292953	Agent - Property	2/12/2025	12/11/2025
Denied	Daly, Christopher J	951615	Agent - Casualty
Denied	Daly, Christopher J	951615	Agent - Property
Denied	Diaz, Elizabeth Ann	923154	Agent - Casualty
Denied	Diaz, Elizabeth Ann	923154	Agent - Property
Active	Field, Ann	1181534	Agent - Casualty	9/10/2025
Active	Field, Ann	1181534	Agent - Property	9/10/2025
Active	Foster, Steven D	1082682	Agent - Casualty	1/29/2025
Denied	Foster, Steven D	1082682	Agent - Life
Active	Foster, Steven D	1082682	Agent - Property	1/29/2025
Active	Guffy, Michael Ryan	889142	Agent - Casualty	1/6/2026
Active	Guffy, Michael Ryan	889142	Agent - Health	1/6/2026
Active	Guffy, Michael Ryan	889142	Agent - Life	1/6/2026
Active	Guffy, Michael Ryan	889142	Agent - Property	1/6/2026
Active	Guffy, Michael Ryan	889142	Surplus Lines Broker - Not Applicable	12/29/2025
Denied	Hanrahan, Hatsumi	1393174	Agent - Casualty
Denied	Hanrahan, Hatsumi	1393174	Agent - Health
Denied	Hanrahan, Hatsumi	1393174	Agent - Property
Denied	Harris, Jennifer	819531	Agent - Casualty
Denied	Harris, Jennifer	819531	Agent - Property
Denied	Hartley, Jonathon Hunter	912477	Agent - Casualty
Denied	Hartley, Jonathon Hunter	912477	Agent - Property
Pending	Kiemen-Rognsvoog, Andrea L	1362579	Agent - Casualty
Pending	Kiemen-Rognsvoog, Andrea L	1362579	Agent - Health
Pending	Kiemen-Rognsvoog, Andrea L	1362579	Agent - Life
Pending	Kiemen-Rognsvoog, Andrea L	1362579	Agent - Property
Active	Kobeski, Gregg	1080405	Agent - Casualty	5/29/2025
Active	Kobeski, Gregg	1080405	Agent - Property	5/29/2025
Inactive	Kolenda, Courtney Lynne	1022910	Agent - Casualty	4/26/2023	2/20/2026
Inactive	Kolenda, Courtney Lynne	1022910	Agent - Health	4/26/2023	2/20/2026
Inactive	Kolenda, Courtney Lynne	1022910	Agent - Life	4/26/2023	2/20/2026
Inactive	Kolenda, Courtney Lynne	1022910	Agent - Property	4/26/2023	2/20/2026
Inactive	Kolenda, Courtney Lynne	1022910	Surplus Lines Broker - Not Applicable	5/22/2023	12/29/2025
Denied	Laemmli, Cassandra J	1405195	Agent - Health
Denied	Laemmli, Cassandra J	1405195	Agent - Life
Active	Larson, Justin Lee	1051221	Agent - Casualty	1/28/2025
Active	Larson, Justin Lee	1051221	Agent - Property	1/28/2025
Denied	Lepley, Scott	1195883	Agent - Health
Denied	Lepley, Scott	1195883	Agent - Life
Active	Mckinley, James	1113009	Agent - Casualty	5/28/2025
Active	Mckinley, James	1113009	Agent - Health	5/28/2025
Active	Mckinley, James	1113009	Agent - Life	5/28/2025
Active	Mckinley, James	1113009	Agent - Property	5/28/2025
Active	Natalizio, Vincenz	1321212	Agent - Casualty	1/29/2025
Active	Natalizio, Vincenz	1321212	Agent - Property	1/29/2025
Denied	Osselborn, Brooke Taylor	1204050	Agent - Casualty
Denied	Osselborn, Brooke Taylor	1204050	Agent - Property
Active	Parato, Anthony D	864026	Agent - Casualty	5/29/2025
Active	Parato, Anthony D	864026	Agent - Health	5/29/2025
Active	Parato, Anthony D	864026	Agent - Life	5/29/2025
Active	Parato, Anthony D	864026	Agent - Property	5/29/2025
Active	Parato, Anthony D	864026	Surplus Lines Broker - Not Applicable	5/29/2025
Active	Payne, Jonathan D	742554	Agent - Casualty	1/28/2025
Active	Payne, Jonathan D	742554	Agent - Property	1/28/2025
Active	Phelps, Randall L	661516	Agent - Casualty	1/29/2025
Active	Phelps, Randall L	661516	Agent - Property	1/29/2025
Active	Prester, William Lee	600923	Agent - Casualty	4/3/2025
Active	Prester, William Lee	600923	Agent - Property	4/3/2025
Denied	Pulsifer, Mark	311751	Agent - Casualty
Denied	Pulsifer, Mark	311751	Agent - Health
Denied	Pulsifer, Mark	311751	Agent - Life
Denied	Pulsifer, Mark	311751	Agent - Property
Denied	Ryan, John E	1330700	Agent - Casualty
Denied	Ryan, John E	1330700	Agent - Property
Active	Sadler, Michelle	1129026	Agent - Casualty	12/30/2025
Active	Sadler, Michelle	1129026	Agent - Property	12/30/2025
Denied	Sanders, Jacob	1126354	Agent - Casualty
Denied	Sanders, Jacob	1126354	Agent - Health
Denied	Sanders, Jacob	1126354	Agent - Life
Denied	Sanders, Jacob	1126354	Agent - Property
Active	Schultz, Jeffery	816060	Agent - Health	1/28/2025
Active	Schultz, Jeffery	816060	Agent - Life	1/28/2025
Inactive	Shewchuck, Michael	1134512	Agent - Casualty	1/29/2025	8/31/2025
Denied	Shewchuck, Michael	1134512	Agent - Health
Denied	Shewchuck, Michael	1134512	Agent - Life
Inactive	Shewchuck, Michael	1134512	Agent - Property	1/29/2025	8/31/2025
Denied	Smith, Michelle	1338608	Agent - Casualty
Denied	Smith, Michelle	1338608	Agent - Property
Denied	Staggs, Ronnie Lynn	548269	Agent - Casualty
Denied	Staggs, Ronnie Lynn	548269	Agent - Property
Denied	Starr, Nicholas	1320253	Agent - Casualty
Denied	Starr, Nicholas	1320253	Agent - Health
Denied	Starr, Nicholas	1320253	Agent - Life
Denied	Starr, Nicholas	1320253	Agent - Property
Denied	Stough, Russell G	1385568	Agent - Casualty
Denied	Stough, Russell G	1385568	Agent - Property
Active	Swanson, Kurt Irvin	1003591	Agent - Casualty	1/29/2025
Active	Swanson, Kurt Irvin	1003591	Agent - Property	1/29/2025
Denied	Vachalek, Emma	1435758	Agent - Casualty
Denied	Vachalek, Emma	1435758	Agent - Property
Active	Verisario, Keith M	852116	Agent - Casualty	6/17/2025
Active	Verisario, Keith M	852116	Agent - Health	6/17/2025
Denied	Verisario, Keith M	852116	Agent - Life
Active	Verisario, Keith M	852116	Agent - Property	6/17/2025
Active	Verisario, Keith M	852116	Surplus Lines Broker - Not Applicable	6/17/2025