DEPARTMENT OF INSURANCE
Affiliations
NameAcrisure Southwest Partners Insurance Services LLCDOIID1274776NAIC NPN20696318
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentCasualty5/16/2023 3/31/2027
ActiveNon ResidentAgentLife5/16/2023 3/31/2027
ActiveNon ResidentAgentProperty5/16/2023 3/31/2027
ActiveNon ResidentAgentHealth5/16/2023 3/31/2027
ActiveNon ResidentSurplus Lines BrokerNot Applicable5/25/2023 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
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202703/31/2027   
Surplus Lines Broker01/15/202703/31/2027   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveACE American Insurance Company300625Agent - Casualty10/3/2025 
ActiveACE American Insurance Company300625Agent - Property10/3/2025 
ActiveACE Fire Underwriters Insurance Company301679Agent - Casualty10/3/2025 
ActiveACE Fire Underwriters Insurance Company301679Agent - Property10/3/2025 
ActiveACE Property and Casualty Insurance Company300520Agent - Casualty10/3/2025 
ActiveACE Property and Casualty Insurance Company300520Agent - Property10/3/2025 
ActiveAIG Property Casualty Company300621Agent - Casualty10/6/2025 
ActiveAIG Property Casualty Company300621Agent - Property10/6/2025 
ActiveAll Savers Insurance Company301940Agent - Health5/16/2024 
ActiveAll Savers Insurance Company301940Agent - Life5/16/2024 
ActiveAllegheny Casualty Company545740Agent - Casualty5/28/2025 
ActiveAllmerica Financial Alliance Insurance Company300823Agent - Casualty10/28/2024 
ActiveAllmerica Financial Alliance Insurance Company300823Agent - Property10/28/2024 
ActiveAllmerica Financial Benefit Insurance Company301223Agent - Casualty10/28/2024 
ActiveAllmerica Financial Benefit Insurance Company301223Agent - Property10/28/2024 
InactiveAmTrust Insurance Company300179Agent - Casualty12/29/20236/29/2026
InactiveAmTrust Insurance Company300179Agent - Property12/29/20236/29/2026
ActiveAmerican Contractors Indemnity Company536843Agent - Casualty6/18/2024 
ActiveAmerican Family Home Insurance Company301817Agent - Casualty7/10/2025 
ActiveAmerican Family Home Insurance Company301817Agent - Property7/10/2025 
ActiveAmerican Modern Property and Casualty Insurance Company301954Agent - Casualty2/5/2024 
ActiveAmerican Modern Property and Casualty Insurance Company301954Agent - Property2/5/2024 
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health3/8/2024 
ActiveAnthem Insurance Companies, Inc.300941Agent - Health3/8/2024 
InactiveAnthem Life Insurance Company301209Agent - Health3/8/20244/15/2025
InactiveAnthem Life Insurance Company301209Agent - Life3/8/20244/15/2025
ActiveArch Indemnity Insurance Company301459Agent - Casualty2/5/2025 
ActiveArch Indemnity Insurance Company301459Agent - Property2/5/2025 
ActiveArch Insurance Company300688Agent - Casualty2/5/2025 
ActiveArch Insurance Company300688Agent - Property2/5/2025 
ActiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Casualty1/23/2025 
ActiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Property1/23/2025 
ActiveBankers Standard Insurance Company301620Agent - Casualty10/3/2025 
ActiveBankers Standard Insurance Company301620Agent - Property10/3/2025 
ActiveChubb Indemnity Insurance Company300438Agent - Casualty10/3/2025 
ActiveChubb Indemnity Insurance Company300438Agent - Property10/3/2025 
ActiveChubb National Insurance Company301392Agent - Casualty10/3/2025 
ActiveChubb National Insurance Company301392Agent - Property10/3/2025 
ActiveCommerce and Industry Insurance Company300881Agent - Casualty10/6/2025 
ActiveCommerce and Industry Insurance Company300881Agent - Property10/6/2025 
ActiveCompcare Health Services Insurance Corporation948751Agent - Health3/8/2024 
InactiveEmployers Assurance Company300120Agent - Casualty3/22/202412/23/2025
InactiveEmployers Compensation Insurance Company797885Agent - Casualty3/22/202412/23/2025
InactiveEmployers Preferred Insurance Company520656Agent - Casualty3/22/202412/23/2025
ActiveEncompass Insurance Company300188Agent - Casualty2/9/2026 
ActiveEncompass Insurance Company300188Agent - Property2/9/2026 
ActiveEverest Reinsurance Company301836Agent - Health4/1/2025 
ActiveExecutive Risk Indemnity Inc.301510Agent - Casualty10/3/2025 
ActiveExecutive Risk Indemnity Inc.301510Agent - Property10/3/2025 
ActiveFarmington Casualty Company301137Agent - Casualty1/15/2025 
ActiveFarmington Casualty Company301137Agent - Property1/15/2025 
ActiveFederal Insurance Company301144Agent - Casualty10/3/2025 
ActiveFederal Insurance Company301144Agent - Property10/3/2025 
ActiveFireman's Fund Insurance Company301423Agent - Casualty8/1/2024 
ActiveFireman's Fund Insurance Company301423Agent - Property8/1/2024 
ActiveFirst Founders Assurance Company1363276Agent - Casualty10/23/2025 
ActiveGreat American Insurance Company301586Agent - Casualty10/24/2024 
ActiveGreat American Insurance Company301586Agent - Property10/24/2024 
ActiveGreat Northern Insurance Company301107Agent - Casualty10/3/2025 
ActiveGreat Northern Insurance Company301107Agent - Property10/3/2025 
ActiveHanover American Insurance Company (The)300447Agent - Casualty10/28/2024 
ActiveHanover American Insurance Company (The)300447Agent - Property10/28/2024 
ActiveHanover Insurance Company (The)300508Agent - Casualty10/28/2024 
ActiveHanover Insurance Company (The)300508Agent - Property10/28/2024 
ActiveIndemnity Insurance Company of North America301760Agent - Casualty10/3/2025 
ActiveIndemnity Insurance Company of North America301760Agent - Property10/3/2025 
ActiveIndependence American Insurance Company524747Agent - Casualty9/18/2024 
ActiveIndependence American Insurance Company524747Agent - Property9/18/2024 
ActiveInsurance Company of the State of Pennsylvania300807Agent - Casualty10/6/2025 
ActiveInsurance Company of the State of Pennsylvania300807Agent - Health10/6/2025 
ActiveInsurance Company of the State of Pennsylvania300807Agent - Property10/6/2025 
ActiveIntegon General Insurance Corporation301186Agent - Casualty2/9/2026 
ActiveIntegon General Insurance Corporation301186Agent - Property2/9/2026 
ActiveIntegon Indemnity Corporation300674Agent - Casualty2/9/2026 
ActiveIntegon Indemnity Corporation300674Agent - Property2/9/2026 
ActiveMassachusetts Bay Insurance Company300898Agent - Casualty10/28/2024 
ActiveMassachusetts Bay Insurance Company300898Agent - Property10/28/2024 
InactiveMilford Casualty Insurance Company301460Agent - Casualty12/29/20236/29/2026
InactiveMilford Casualty Insurance Company301460Agent - Property12/29/20236/29/2026
ActiveNational Specialty Insurance Company300993Agent - Casualty7/29/2024 
ActiveNational Specialty Insurance Company300993Agent - Property7/29/2024 
ActiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Casualty10/6/2025 
ActiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Health10/6/2025 
ActiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Property10/6/2025 
ActiveNew Hampshire Insurance Company301670Agent - Casualty10/6/2025 
ActiveNew Hampshire Insurance Company301670Agent - Health10/6/2025 
ActiveNew Hampshire Insurance Company301670Agent - Property10/6/2025 
ActiveNext Insurance US Company1083825Agent - Casualty7/26/2024 
ActiveNext Insurance US Company1083825Agent - Property7/26/2024 
ActivePacific Employers Insurance Company301753Agent - Casualty10/3/2025 
ActivePacific Employers Insurance Company301753Agent - Property10/3/2025 
ActivePacific Indemnity Company301610Agent - Casualty10/3/2025 
ActivePacific Indemnity Company301610Agent - Property10/3/2025 
ActiveProgressive Casualty Insurance Company300696Agent - Casualty6/18/2024 
ActiveProgressive Casualty Insurance Company300696Agent - Property6/18/2024 
InactiveSecurity National Insurance Company301151Agent - Casualty12/29/20236/29/2026
InactiveSecurity National Insurance Company301151Agent - Property12/29/20236/29/2026
ActiveSelective Insurance Company of the Southeast300381Agent - Casualty12/4/2024 
ActiveSelective Insurance Company of the Southeast300381Agent - Property12/4/2024 
InactiveSequoia Insurance Company628046Agent - Casualty12/29/20236/29/2026
InactiveSequoia Insurance Company628046Agent - Property12/29/20236/29/2026
ActiveSiriusPoint America Insurance Company301148Agent - Casualty2/7/2025 
ActiveSiriusPoint America Insurance Company301148Agent - Property2/7/2025 
ActiveStandard Fire Insurance Company (The)301068Agent - Casualty1/15/2025 
ActiveStandard Fire Insurance Company (The)301068Agent - Property1/15/2025 
ActiveStandard Insurance Company300185Agent - Health12/27/2024 
ActiveStandard Insurance Company300185Agent - Life12/27/2024 
ActiveStarr Indemnity and Liability Company301685Agent - Casualty4/1/2024 
ActiveStarr Indemnity and Liability Company301685Agent - Health4/1/2024 
ActiveStarr Indemnity and Liability Company301685Agent - Property4/1/2024 
ActiveState National Insurance Company, Inc.300888Agent - Casualty7/29/2024 
ActiveState National Insurance Company, Inc.300888Agent - Property7/29/2024 
InactiveTechnology Insurance Company613278Agent - Casualty12/29/20236/29/2026
InactiveTechnology Insurance Company613278Agent - Property12/29/20236/29/2026
ActiveTravelers Casualty and Surety Company301067Agent - Casualty1/15/2025 
ActiveTravelers Casualty and Surety Company301067Agent - Property1/15/2025 
ActiveTravelers Home and Marine Insurance Company (The)301802Agent - Casualty1/23/2025 
ActiveTravelers Home and Marine Insurance Company (The)301802Agent - Property1/23/2025 
ActiveTravelers Indemnity Company of America (The)301093Agent - Casualty1/23/2025 
ActiveTravelers Indemnity Company of America (The)301093Agent - Property1/23/2025 
ActiveTravelers Indemnity Company of Connecticut (The)301591Agent - Casualty9/25/2025 
ActiveTravelers Indemnity Company of Connecticut (The)301591Agent - Property9/25/2025 
ActiveTravelers Personal Insurance Company705785Agent - Casualty1/15/2025 
ActiveTravelers Personal Insurance Company705785Agent - Property1/15/2025 
ActiveTravelers Property Casualty Company of America301649Agent - Casualty9/25/2025 
ActiveTravelers Property Casualty Company of America301649Agent - Property9/25/2025 
ActiveTrisura Insurance Company1077019Agent - Casualty10/23/2025 
ActiveU.S. Specialty Insurance Company300186Agent - Casualty6/18/2024 
ActiveUnited Financial Casualty Company301886Agent - Casualty6/18/2024 
ActiveUnited Financial Casualty Company301886Agent - Property6/18/2024 
ActiveUnited of Omaha Life Insurance Company300156Agent - Health9/5/2025 
ActiveUnited of Omaha Life Insurance Company300156Agent - Life9/5/2025 
ActiveUnitedHealthcare Insurance Company300946Agent - Health5/16/2024 
ActiveUnitedHealthcare Insurance Company300946Agent - Life5/16/2024 
ActiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health5/16/2024 
ActiveUnitedHealthcare of Ohio, Inc.300493Agent - Health5/16/2024 
ActiveVerlan Fire Insurance Company517102Agent - Casualty10/28/2024 
ActiveVerlan Fire Insurance Company517102Agent - Property10/28/2024 
ActiveVigilant Insurance Company301143Agent - Casualty10/3/2025 
ActiveVigilant Insurance Company301143Agent - Property10/3/2025 
InactiveWesco Insurance Company300534Agent - Casualty12/29/20236/29/2026
InactiveWesco Insurance Company300534Agent - Property12/29/20236/29/2026
ActiveWestchester Fire Insurance Company300990Agent - Casualty10/3/2025 
ActiveWestchester Fire Insurance Company300990Agent - Property10/3/2025 
ActiveWestern Surety Company300283Agent - Casualty12/16/2025 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
DeniedAmorelli, Anthony 1030033Agent - Casualty  
ActiveAmorelli, Anthony 1030033Agent - Health1/27/2025 
ActiveAmorelli, Anthony 1030033Agent - Life1/27/2025 
DeniedAmorelli, Anthony 1030033Agent - Property  
DeniedAvalos, Marlon 1088226Agent - Casualty  
DeniedAvalos, Marlon 1088226Agent - Health  
DeniedAvalos, Marlon 1088226Agent - Life  
DeniedAvalos, Marlon 1088226Agent - Property  
ActiveBailey, Clinton Russell 1020183Agent - Casualty5/29/2025 
ActiveBailey, Clinton Russell 1020183Agent - Property5/29/2025 
ActiveBeall, Richard Allen 385643Agent - Casualty5/21/2025 
ActiveBeall, Richard Allen 385643Agent - Property5/21/2025 
ActiveBean, Melissa Sue 710878Agent - Health5/29/2025 
DeniedBean, Melissa Sue 710878Agent - Life  
PendingBurton, Quentin 1194442Agent - Casualty  
PendingBurton, Quentin 1194442Agent - Property  
DeniedCantu, Patricia 1290749Agent - Casualty  
DeniedCantu, Patricia 1290749Agent - Property  
InactiveCarmona, Debra Ann 1151007Agent - Health5/16/202511/20/2025
ActiveEbert, John William 750174Agent - Casualty1/24/2025 
ActiveEbert, John William 750174Agent - Property1/24/2025 
ActiveEhrenfeld, Eric Jon 954862Agent - Casualty1/17/2025 
ActiveEhrenfeld, Eric Jon 954862Agent - Property1/17/2025 
InactiveEtcheverry, Ronald Allen 868828Agent - Casualty1/29/20258/18/2025
DeniedEtcheverry, Ronald Allen 868828Agent - Health  
DeniedEtcheverry, Ronald Allen 868828Agent - Life  
InactiveEtcheverry, Ronald Allen 868828Agent - Property1/29/20258/18/2025
InactiveFreska, Peter 1326600Agent - Health5/8/20256/2/2026
DeniedFreska, Peter 1326600Agent - Life  
ActiveGuffy, Michael Ryan 889142Agent - Casualty1/6/2026 
ActiveGuffy, Michael Ryan 889142Agent - Health1/6/2026 
ActiveGuffy, Michael Ryan 889142Agent - Life1/6/2026 
ActiveGuffy, Michael Ryan 889142Agent - Property1/6/2026 
ActiveGuffy, Michael Ryan 889142Surplus Lines Broker - Not Applicable12/29/2025 
DeniedHampton, Wesley Gordon 653512Agent - Casualty  
DeniedHampton, Wesley Gordon 653512Agent - Property  
DeniedHill, Johanna 1350169Agent - Casualty  
DeniedHill, Johanna 1350169Agent - Property  
ActiveHolzman, Michael James 1002611Agent - Casualty1/28/2025 
ActiveHolzman, Michael James 1002611Agent - Property1/28/2025 
DeniedHunter, Travis 1015898Agent - Health  
DeniedHunter, Travis 1015898Agent - Life  
DeniedImbriano, Joseph 1113055Agent - Casualty  
DeniedImbriano, Joseph 1113055Agent - Health  
DeniedImbriano, Joseph 1113055Agent - Life  
DeniedImbriano, Joseph 1113055Agent - Property  
ActiveJacobson, David Stewart 971831Agent - Casualty1/28/2025 
DeniedJacobson, David Stewart 971831Agent - Health  
DeniedJacobson, David Stewart 971831Agent - Life  
ActiveJacobson, David Stewart 971831Agent - Property1/28/2025 
InactiveKolenda, Courtney Lynne 1022910Agent - Casualty5/16/202312/29/2025
InactiveKolenda, Courtney Lynne 1022910Agent - Health5/16/202312/29/2025
InactiveKolenda, Courtney Lynne 1022910Agent - Life5/16/202312/29/2025
InactiveKolenda, Courtney Lynne 1022910Agent - Property5/16/202312/29/2025
InactiveKolenda, Courtney Lynne 1022910Surplus Lines Broker - Not Applicable5/25/20235/21/2026
DeniedKops, Stewart Jay 1079107Agent - Casualty  
DeniedKops, Stewart Jay 1079107Agent - Health  
DeniedKops, Stewart Jay 1079107Agent - Life  
DeniedKops, Stewart Jay 1079107Agent - Property  
ActiveLawrence, Allen Matta 321297Agent - Casualty1/27/2025 
ActiveLawrence, Allen Matta 321297Agent - Property1/27/2025 
DeniedMahlum, Steven Dale 631930Agent - Casualty  
DeniedMahlum, Steven Dale 631930Agent - Health  
DeniedMahlum, Steven Dale 631930Agent - Life  
DeniedMahlum, Steven Dale 631930Agent - Property  
DeniedMccall, Marnie Sharr 1372000Agent - Health  
DeniedMccall, Marnie Sharr 1372000Agent - Life  
DeniedPenrod, Jonathon 1350291Agent - Casualty  
DeniedPenrod, Jonathon 1350291Agent - Health  
DeniedPenrod, Jonathon 1350291Agent - Life  
DeniedPenrod, Jonathon 1350291Agent - Property  
DeniedReeves, Sylvan Robin 1330704Agent - Casualty  
DeniedReeves, Sylvan Robin 1330704Agent - Property  
ActiveRoyle, Shawn 845318Agent - Casualty1/17/2025 
ActiveRoyle, Shawn 845318Agent - Property1/17/2025 
ActiveRoyle, Shawn 845318Surplus Lines Broker - Not Applicable1/17/2025 
DeniedScott, Edward Parker 1351280Agent - Casualty  
DeniedScott, Edward Parker 1351280Agent - Property  
DeniedStjernstrom, Kathryn 1307164Agent - Casualty  
DeniedStjernstrom, Kathryn 1307164Agent - Property  
InactiveStone, Gregory Carl 523289Agent - Casualty10/23/20244/7/2026
InactiveStone, Gregory Carl 523289Agent - Property10/23/20244/7/2026
InactiveThomas, Patrick 994735Agent - Casualty4/21/20254/15/2026
DeniedThomas, Patrick 994735Agent - Health  
DeniedThomas, Patrick 994735Agent - Life  
InactiveThomas, Patrick 994735Agent - Property4/21/202512/23/2025
InactiveThomas, Patrick 994735Surplus Lines Broker - Not Applicable4/21/20254/15/2026
ActiveTran, David 934929Agent - Casualty5/16/2025 
ActiveTran, David 934929Agent - Property5/16/2025 
ActiveVucurevic, Nikola 829383Agent - Casualty1/29/2025 
ActiveVucurevic, Nikola 829383Agent - Health1/29/2025 
DeniedVucurevic, Nikola 829383Agent - Life  
ActiveVucurevic, Nikola 829383Agent - Property1/29/2025 

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