DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Petrillo, Kimberly Bushong	DOIID	1319682	NAIC NPN	13988771

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	1/18/2024		10/31/2026
Active	Non Resident	Agent	Casualty	1/18/2024		10/31/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	1/18/2024		10/31/2026
* 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	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	2/6/2024
Active	American Guarantee and Liability Insurance Company	301216	Agent - Property	2/6/2024
Active	American Zurich Insurance Company	300592	Agent - Casualty	2/6/2024
Active	American Zurich Insurance Company	300592	Agent - Property	2/6/2024
Active	Zurich American Insurance Company	301121	Agent - Casualty	2/6/2024
Active	Zurich American Insurance Company	301121	Agent - Property	2/6/2024
Active	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	2/6/2024
Active	Zurich American Insurance Company of Illinois	301805	Agent - Property	2/6/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Starwind Specialty Insurance Services, LLC	513826	Agent - Casualty	2/6/2024
Active	Starwind Specialty Insurance Services, LLC	513826	Agent - Property	2/6/2024
Active	Starwind Specialty Insurance Services, LLC	513826	Surplus Lines Broker - Not Applicable	1/23/2024