DEPARTMENT OF INSURANCE

Affiliations

Name	Acrisure Mid-Atlantic Partners Insurance Services LLC	DOIID	1272151	NAIC NPN	20692881

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	5/2/2023	3/31/2027
Active	Non Resident	Agent	Property	5/2/2023	3/31/2027
Active	Non Resident	Agent	Life	5/2/2023	3/31/2027
Active	Non Resident	Agent	Casualty	5/2/2023	3/31/2027
Active	Non Resident	Surplus Lines Broker	Not Applicable	5/24/2023	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	01/15/2025	03/31/2025	01/31/2025	01/31/2025	Yes
Surplus Lines Broker	01/15/2025	03/31/2025	01/31/2025	01/31/2025	Yes

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	1/15/2025
Active	ACE American Insurance Company	300625	Agent - Property	1/15/2025
Active	All Savers Insurance Company	301940	Agent - Health	2/26/2025
Active	All Savers Insurance Company	301940	Agent - Life	2/26/2025
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	AmTrust Insurance Company	300179	Agent - Casualty	12/29/2023
Active	AmTrust Insurance Company	300179	Agent - Property	12/29/2023
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	1/22/2024
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	1/22/2024
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/15/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	8/15/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/15/2024	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/15/2024	4/15/2025
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	Berkley Insurance Company	301355	Agent - Casualty	12/19/2024
Active	Berkley Insurance Company	301355	Agent - Property	12/19/2024
Active	Cincinnati Casualty Company (The)	300308	Agent - Casualty	11/20/2024
Active	Cincinnati Casualty Company (The)	300308	Agent - Property	11/20/2024
Active	Cincinnati Indemnity Company (The)	301566	Agent - Casualty	11/20/2024
Active	Cincinnati Indemnity Company (The)	301566	Agent - Property	11/20/2024
Active	Cincinnati Insurance Company	301298	Agent - Casualty	11/20/2024
Active	Cincinnati Insurance Company	301298	Agent - Property	11/20/2024
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	8/15/2024
Active	Employers Assurance Company	300120	Agent - Casualty	4/25/2024
Active	Employers Compensation Insurance Company	797885	Agent - Casualty	4/25/2024
Active	Employers Preferred Insurance Company	520656	Agent - Casualty	4/25/2024
Active	Everest Reinsurance Company	301836	Agent - Casualty	4/4/2025
Active	Everest Reinsurance Company	301836	Agent - Health	4/4/2025
Active	Everest Reinsurance Company	301836	Agent - Property	4/4/2025
Active	Federal Insurance Company	301144	Agent - Casualty	1/15/2025
Active	Federal Insurance Company	301144	Agent - Property	1/15/2025
Active	Great Northern Insurance Company	301107	Agent - Casualty	1/15/2025
Active	Great Northern Insurance Company	301107	Agent - Property	1/15/2025
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	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 Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	2/26/2025
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	2/26/2025
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	11/18/2024
Active	Standard Fire Insurance Company (The)	301068	Agent - Property	11/18/2024
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	Technology Insurance Company	613278	Agent - Casualty	12/29/2023
Active	Technology Insurance Company	613278	Agent - Property	12/29/2023
Active	Travelers Casualty and Surety Company	301067	Agent - Casualty	11/18/2024
Active	Travelers Casualty and Surety Company	301067	Agent - Property	11/18/2024
Active	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	11/18/2024
Active	Travelers Casualty and Surety Company of America	301334	Agent - Property	11/18/2024
Active	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	11/20/2024
Active	Travelers Indemnity Company of America (The)	301093	Agent - Property	11/20/2024
Active	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	11/18/2024
Active	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	11/18/2024
Active	Travelers Personal Insurance Company	705785	Agent - Casualty	11/18/2024
Active	Travelers Personal Insurance Company	705785	Agent - Property	11/18/2024
Active	Travelers Property Casualty Company of America	301649	Agent - Casualty	11/18/2024
Active	Travelers Property Casualty Company of America	301649	Agent - Property	11/18/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	2/26/2025
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	2/26/2025
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	2/26/2025
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	2/26/2025
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	1/15/2025
Active	Vigilant Insurance Company	301143	Agent - Property	1/15/2025
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	1/15/2025
Active	Westchester Fire Insurance Company	300990	Agent - Property	1/15/2025

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Arbegast, Steven	1104417	Agent - Casualty	1/23/2025
Pending	Arbegast, Steven	1104417	Agent - Health
Pending	Arbegast, Steven	1104417	Agent - Life
Active	Arbegast, Steven	1104417	Agent - Property	1/23/2025
Pending	Cola, Robert Gerard	651647	Agent - Health
Pending	Cola, Robert Gerard	651647	Agent - Life
Active	Coleman, Laurie Summers	721578	Agent - Casualty	1/22/2025
Active	Coleman, Laurie Summers	721578	Agent - Property	1/22/2025
Active	Coleman, Laurie Summers	721578	Surplus Lines Broker - Not Applicable	1/22/2025
Pending	Grande, Jessica Blair	1108594	Agent - Health
Pending	Grande, Jessica Blair	1108594	Agent - Life
Active	Kolenda, Courtney Lynne	1022910	Agent - Casualty	5/2/2023
Active	Kolenda, Courtney Lynne	1022910	Agent - Health	5/2/2023
Active	Kolenda, Courtney Lynne	1022910	Agent - Life	5/2/2023
Active	Kolenda, Courtney Lynne	1022910	Agent - Property	5/2/2023
Active	Kolenda, Courtney Lynne	1022910	Surplus Lines Broker - Not Applicable	5/24/2023
Denied	Moreton, Andrew Giles	345189	Agent - Casualty
Denied	Moreton, Andrew Giles	345189	Agent - Property
Active	Odell, Steven A	644795	Agent - Casualty	1/29/2025
Active	Odell, Steven A	644795	Agent - Health	1/29/2025
Pending	Odell, Steven A	644795	Agent - Life
Active	Odell, Steven A	644795	Agent - Property	1/29/2025
Pending	Parkins, Jason	1392934	Agent - Casualty
Pending	Parkins, Jason	1392934	Agent - Property
Active	Sweeney, Kelli Ann	987495	Agent - Casualty	1/28/2025
Active	Sweeney, Kelli Ann	987495	Agent - Property	1/28/2025
Active	Turner, Kevin Michael	981315	Agent - Casualty	1/28/2025
Pending	Turner, Kevin Michael	981315	Agent - Health
Pending	Turner, Kevin Michael	981315	Agent - Property