DEPARTMENT OF INSURANCE

Affiliations

Name	Acrisure Southwest Partners Insurance Services LLC	DOIID	1274776	NAIC NPN	20696318

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	5/16/2023	3/31/2027
Active	Non Resident	Agent	Life	5/16/2023	3/31/2027
Active	Non Resident	Agent	Health	5/16/2023	3/31/2027
Active	Non Resident	Agent	Casualty	5/16/2023	3/31/2027
Active	Non Resident	Surplus Lines Broker	Not Applicable	5/25/2023	3/31/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	All Savers Insurance Company	301940	Agent - Health	5/16/2024
Active	All Savers Insurance Company	301940	Agent - Life	5/16/2024
Active	Allegheny Casualty Company	545740	Agent - Casualty	5/28/2025
Active	Allmerica Financial Alliance Insurance Company	300823	Agent - Casualty	10/28/2024
Active	Allmerica Financial Alliance Insurance Company	300823	Agent - Property	10/28/2024
Active	Allmerica Financial Benefit Insurance Company	301223	Agent - Casualty	10/28/2024
Active	Allmerica Financial Benefit Insurance Company	301223	Agent - Property	10/28/2024
Active	AmTrust Insurance Company	300179	Agent - Casualty	12/29/2023
Active	AmTrust Insurance Company	300179	Agent - Property	12/29/2023
Active	American Contractors Indemnity Company	536843	Agent - Casualty	6/18/2024
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	2/5/2024
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	2/5/2024
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/8/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	3/8/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Health	3/8/2024	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	3/8/2024	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	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	1/23/2025
Active	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	1/23/2025
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	3/8/2024
Active	Employers Assurance Company	300120	Agent - Casualty	3/22/2024
Active	Employers Compensation Insurance Company	797885	Agent - Casualty	3/22/2024
Active	Employers Preferred Insurance Company	520656	Agent - Casualty	3/22/2024
Active	Everest Reinsurance Company	301836	Agent - Health	4/1/2025
Active	Farmington Casualty Company	301137	Agent - Casualty	1/15/2025
Active	Farmington Casualty Company	301137	Agent - Property	1/15/2025
Active	Fireman's Fund Insurance Company	301423	Agent - Casualty	8/1/2024
Active	Fireman's Fund Insurance Company	301423	Agent - Property	8/1/2024
Active	Great American Insurance Company	301586	Agent - Casualty	10/24/2024
Active	Great American Insurance Company	301586	Agent - Property	10/24/2024
Active	Hanover American Insurance Company (The)	300447	Agent - Casualty	10/28/2024
Active	Hanover American Insurance Company (The)	300447	Agent - Property	10/28/2024
Active	Hanover Insurance Company (The)	300508	Agent - Casualty	10/28/2024
Active	Hanover Insurance Company (The)	300508	Agent - Property	10/28/2024
Active	Independence American Insurance Company	524747	Agent - Casualty	9/18/2024
Active	Independence American Insurance Company	524747	Agent - Property	9/18/2024
Active	Massachusetts Bay Insurance Company	300898	Agent - Casualty	10/28/2024
Active	Massachusetts Bay Insurance Company	300898	Agent - Property	10/28/2024
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	7/29/2024
Active	National Specialty Insurance Company	300993	Agent - Property	7/29/2024
Active	Next Insurance US Company	1083825	Agent - Casualty	7/26/2024
Active	Next Insurance US Company	1083825	Agent - Property	7/26/2024
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	6/18/2024
Active	Progressive Casualty Insurance Company	300696	Agent - Property	6/18/2024
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	12/4/2024
Active	Selective Insurance Company of the Southeast	300381	Agent - Property	12/4/2024
Active	Sequoia Insurance Company	628046	Agent - Casualty	12/29/2023
Active	Sequoia Insurance Company	628046	Agent - Property	12/29/2023
Active	SiriusPoint America Insurance Company	301148	Agent - Casualty	2/7/2025
Active	SiriusPoint America Insurance Company	301148	Agent - Property	2/7/2025
Active	Standard Fire Insurance Company (The)	301068	Agent - Casualty	1/15/2025
Active	Standard Fire Insurance Company (The)	301068	Agent - Property	1/15/2025
Active	Standard Insurance Company	300185	Agent - Health	12/27/2024
Active	Standard Insurance Company	300185	Agent - Life	12/27/2024
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	State National Insurance Company, Inc.	300888	Agent - Casualty	7/29/2024
Active	State National Insurance Company, Inc.	300888	Agent - Property	7/29/2024
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	1/15/2025
Active	Travelers Casualty and Surety Company	301067	Agent - Property	1/15/2025
Active	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	1/23/2025
Active	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	1/23/2025
Active	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	1/23/2025
Active	Travelers Indemnity Company of America (The)	301093	Agent - Property	1/23/2025
Active	Travelers Personal Insurance Company	705785	Agent - Casualty	1/15/2025
Active	Travelers Personal Insurance Company	705785	Agent - Property	1/15/2025
Active	U.S. Specialty Insurance Company	300186	Agent - Casualty	6/18/2024
Active	United Financial Casualty Company	301886	Agent - Casualty	6/18/2024
Active	United Financial Casualty Company	301886	Agent - Property	6/18/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	5/16/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	5/16/2024
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	5/16/2024
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	5/16/2024
Active	Verlan Fire Insurance Company	517102	Agent - Casualty	10/28/2024
Active	Verlan Fire Insurance Company	517102	Agent - Property	10/28/2024
Active	Wesco Insurance Company	300534	Agent - Casualty	12/29/2023
Active	Wesco Insurance Company	300534	Agent - Property	12/29/2023

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Denied	Amorelli, Anthony	1030033	Agent - Casualty
Active	Amorelli, Anthony	1030033	Agent - Health	1/27/2025
Active	Amorelli, Anthony	1030033	Agent - Life	1/27/2025
Denied	Amorelli, Anthony	1030033	Agent - Property
Denied	Avalos, Marlon	1088226	Agent - Casualty
Denied	Avalos, Marlon	1088226	Agent - Health
Denied	Avalos, Marlon	1088226	Agent - Life
Denied	Avalos, Marlon	1088226	Agent - Property
Active	Bailey, Clinton Russell	1020183	Agent - Casualty	5/29/2025
Active	Bailey, Clinton Russell	1020183	Agent - Property	5/29/2025
Active	Beall, Richard Allen	385643	Agent - Casualty	5/21/2025
Active	Beall, Richard Allen	385643	Agent - Property	5/21/2025
Active	Bean, Melissa Sue	710878	Agent - Health	5/29/2025
Pending	Bean, Melissa Sue	710878	Agent - Life
Pending	Cantu, Patricia	1290749	Agent - Casualty
Pending	Cantu, Patricia	1290749	Agent - Property
Active	Carmona, Debra Ann	1151007	Agent - Health	5/16/2025
Active	Ebert, John William	750174	Agent - Casualty	1/24/2025
Active	Ebert, John William	750174	Agent - Property	1/24/2025
Active	Ehrenfeld, Eric Jon	954862	Agent - Casualty	1/17/2025
Active	Ehrenfeld, Eric Jon	954862	Agent - Property	1/17/2025
Active	Etcheverry, Ronald Allen	868828	Agent - Casualty	1/29/2025
Denied	Etcheverry, Ronald Allen	868828	Agent - Health
Denied	Etcheverry, Ronald Allen	868828	Agent - Life
Active	Etcheverry, Ronald Allen	868828	Agent - Property	1/29/2025
Active	Freska, Peter	1326600	Agent - Health	5/8/2025
Denied	Freska, Peter	1326600	Agent - Life
Denied	Hampton, Wesley Gordon	653512	Agent - Casualty
Denied	Hampton, Wesley Gordon	653512	Agent - Property
Denied	Hill, Johanna	1350169	Agent - Casualty
Denied	Hill, Johanna	1350169	Agent - Property
Active	Holzman, Michael James	1002611	Agent - Casualty	1/28/2025
Active	Holzman, Michael James	1002611	Agent - Property	1/28/2025
Denied	Hunter, Travis	1015898	Agent - Health
Denied	Hunter, Travis	1015898	Agent - Life
Denied	Imbriano, Joseph	1113055	Agent - Casualty
Denied	Imbriano, Joseph	1113055	Agent - Health
Denied	Imbriano, Joseph	1113055	Agent - Life
Denied	Imbriano, Joseph	1113055	Agent - Property
Active	Jacobson, David Stewart	971831	Agent - Casualty	1/28/2025
Denied	Jacobson, David Stewart	971831	Agent - Health
Denied	Jacobson, David Stewart	971831	Agent - Life
Active	Jacobson, David Stewart	971831	Agent - Property	1/28/2025
Active	Kolenda, Courtney Lynne	1022910	Agent - Casualty	5/16/2023
Active	Kolenda, Courtney Lynne	1022910	Agent - Health	5/16/2023
Active	Kolenda, Courtney Lynne	1022910	Agent - Life	5/16/2023
Active	Kolenda, Courtney Lynne	1022910	Agent - Property	5/16/2023
Active	Kolenda, Courtney Lynne	1022910	Surplus Lines Broker - Not Applicable	5/25/2023
Denied	Kops, Stewart Jay	1079107	Agent - Casualty
Denied	Kops, Stewart Jay	1079107	Agent - Health
Denied	Kops, Stewart Jay	1079107	Agent - Life
Denied	Kops, Stewart Jay	1079107	Agent - Property
Active	Lawrence, Allen Matta	321297	Agent - Casualty	1/27/2025
Active	Lawrence, Allen Matta	321297	Agent - Property	1/27/2025
Pending	Mahlum, Steven Dale	631930	Agent - Casualty
Pending	Mahlum, Steven Dale	631930	Agent - Health
Pending	Mahlum, Steven Dale	631930	Agent - Life
Pending	Mahlum, Steven Dale	631930	Agent - Property
Denied	Mccall, Marnie Sharr	1372000	Agent - Health
Denied	Mccall, Marnie Sharr	1372000	Agent - Life
Pending	Penrod, Jonathon	1350291	Agent - Casualty
Pending	Penrod, Jonathon	1350291	Agent - Health
Pending	Penrod, Jonathon	1350291	Agent - Life
Pending	Penrod, Jonathon	1350291	Agent - Property
Denied	Reeves, Sylvan Robin	1330704	Agent - Casualty
Denied	Reeves, Sylvan Robin	1330704	Agent - Property
Active	Royle, Shawn	845318	Agent - Casualty	1/17/2025
Active	Royle, Shawn	845318	Agent - Property	1/17/2025
Active	Royle, Shawn	845318	Surplus Lines Broker - Not Applicable	1/17/2025
Pending	Scott, Edward Parker	1351280	Agent - Casualty
Pending	Scott, Edward Parker	1351280	Agent - Property
Denied	Stjernstrom, Kathryn	1307164	Agent - Casualty
Denied	Stjernstrom, Kathryn	1307164	Agent - Property
Active	Stone, Gregory Carl	523289	Agent - Casualty	10/23/2024
Active	Stone, Gregory Carl	523289	Agent - Property	10/23/2024
Active	Thomas, Patrick	994735	Agent - Casualty	4/21/2025
Pending	Thomas, Patrick	994735	Agent - Health
Pending	Thomas, Patrick	994735	Agent - Life
Active	Thomas, Patrick	994735	Agent - Property	4/21/2025
Active	Thomas, Patrick	994735	Surplus Lines Broker - Not Applicable	4/21/2025
Active	Tran, David	934929	Agent - Casualty	5/16/2025
Active	Tran, David	934929	Agent - Property	5/16/2025
Active	Vucurevic, Nikola	829383	Agent - Casualty	1/29/2025
Active	Vucurevic, Nikola	829383	Agent - Health	1/29/2025
Denied	Vucurevic, Nikola	829383	Agent - Life
Active	Vucurevic, Nikola	829383	Agent - Property	1/29/2025