DEPARTMENT OF INSURANCE

Affiliations

Name	Birch, Adam Haynes	DOIID	1304496	NAIC NPN	20873266

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	10/11/2023	5/31/2025
Active	Non Resident	Agent	Property	10/11/2023	5/31/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	10/11/2023	5/31/2025
* 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	03/15/2025	05/31/2025
Surplus Lines Broker	03/15/2025	05/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AIG Assurance Company	300897	Agent - Casualty	10/16/2023	11/4/2024
Inactive	AIG Assurance Company	300897	Agent - Property	10/16/2023	11/4/2024
Inactive	AIG Property Casualty Company	300621	Agent - Casualty	10/16/2023	11/4/2024
Inactive	AIG Property Casualty Company	300621	Agent - Property	10/16/2023	11/4/2024
Inactive	AIU Insurance Company	300729	Agent - Casualty	10/16/2023	11/4/2024
Inactive	AIU Insurance Company	300729	Agent - Property	10/16/2023	11/4/2024
Inactive	American Home Assurance Company	300246	Agent - Casualty	10/16/2023	11/4/2024
Inactive	American Home Assurance Company	300246	Agent - Property	10/16/2023	11/4/2024
Inactive	Commerce and Industry Insurance Company	300881	Agent - Casualty	10/16/2023	11/4/2024
Inactive	Commerce and Industry Insurance Company	300881	Agent - Property	10/16/2023	11/4/2024
Inactive	Granite State Insurance Company	300818	Agent - Casualty	10/16/2023	11/4/2024
Inactive	Granite State Insurance Company	300818	Agent - Property	10/16/2023	11/4/2024
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	10/16/2023	11/4/2024
Inactive	Illinois National Insurance Company	301367	Agent - Property	10/16/2023	11/4/2024
Inactive	Insurance Company of the State of Pennsylvania	300807	Agent - Casualty	10/16/2023	11/4/2024
Inactive	Insurance Company of the State of Pennsylvania	300807	Agent - Property	10/16/2023	11/4/2024
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	10/16/2023	11/4/2024
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	10/16/2023	11/4/2024
Inactive	New Hampshire Insurance Company	301670	Agent - Casualty	10/16/2023	11/4/2024
Inactive	New Hampshire Insurance Company	301670	Agent - Property	10/16/2023	11/4/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Lexington Specialty Insurance Agency, Inc.	1101913	Agent - Casualty	1/25/2024	11/4/2024
Inactive	Lexington Specialty Insurance Agency, Inc.	1101913	Agent - Property	1/25/2024	11/4/2024
Active	Lexington Specialty Insurance Agency, Inc.	1101913	Surplus Lines Broker - Not Applicable	1/25/2024