DEPARTMENT OF INSURANCE

Affiliations

Name	Bellomo, Michelle	DOIID	1326979	NAIC NPN	5722924

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	2/29/2024	7/31/2025
Active	Non Resident	Agent	Property	2/29/2024	7/31/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	2/29/2024	7/31/2025
* 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	05/15/2025	07/31/2025
Surplus Lines Broker	05/15/2025	07/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	AIG Assurance Company	300897	Agent - Casualty	3/12/2024
Active	AIG Assurance Company	300897	Agent - Property	3/12/2024
Active	AIG Property Casualty Company	300621	Agent - Casualty	3/12/2024
Active	AIG Property Casualty Company	300621	Agent - Property	3/12/2024
Active	AIU Insurance Company	300729	Agent - Casualty	3/12/2024
Active	AIU Insurance Company	300729	Agent - Property	3/12/2024
Active	American Home Assurance Company	300246	Agent - Casualty	3/12/2024
Active	American Home Assurance Company	300246	Agent - Property	3/12/2024
Active	Commerce and Industry Insurance Company	300881	Agent - Casualty	3/12/2024
Active	Commerce and Industry Insurance Company	300881	Agent - Property	3/12/2024
Active	Granite State Insurance Company	300818	Agent - Casualty	3/12/2024
Active	Granite State Insurance Company	300818	Agent - Property	3/12/2024
Active	Illinois National Insurance Company	301367	Agent - Casualty	3/12/2024
Active	Illinois National Insurance Company	301367	Agent - Property	3/12/2024
Active	Insurance Company of the State of Pennsylvania	300807	Agent - Casualty	3/12/2024
Active	Insurance Company of the State of Pennsylvania	300807	Agent - Property	3/12/2024
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	3/12/2024
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	3/12/2024
Active	New Hampshire Insurance Company	301670	Agent - Casualty	3/12/2024
Active	New Hampshire Insurance Company	301670	Agent - Property	3/12/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Risk Specialists Companies Ins Agency Inc	669694	Agent - Casualty	9/9/2024
Active	Risk Specialists Companies Ins Agency Inc	669694	Agent - Property	9/9/2024
Active	Risk Specialists Companies Ins Agency Inc	669694	Surplus Lines Broker - Not Applicable	9/9/2024