DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Stimpert, Eric Keith	DOIID	1289771	NAIC NPN	18575362

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	8/4/2023		2/28/2025
Active	Non Resident	Agent	Casualty	8/4/2023		2/28/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	8/4/2023		2/28/2025
* 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	12/15/2024	02/28/2025
Surplus Lines Broker	12/15/2024	02/28/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	MAG Mutual Insurance Company	500011	Agent - Casualty	8/8/2023
Active	MAG Mutual Insurance Company	500011	Agent - Property	8/8/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aon Risk Services Northeast Inc	503768	Agent - Casualty	8/9/2023
Active	Aon Risk Services Northeast Inc	503768	Agent - Property	8/9/2023
Active	Aon Risk Services Northeast Inc	503768	Surplus Lines Broker - Not Applicable	8/9/2023