DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Willis Towers Watson Special Risk, LLC	DOIID	1349590	NAIC NPN	21245747

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	7/11/2024		3/31/2028
Active	Non Resident	Agent	Casualty	7/11/2024		3/31/2028
Active	Non Resident	Surplus Lines Broker	Not Applicable	7/24/2024		3/31/2028
* 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	01/15/2026	03/31/2026	02/17/2026	02/17/2026	Yes
Surplus Lines Broker	01/15/2026	03/31/2026	02/17/2026	02/17/2026	Yes

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Bolig, Jacquelyn M	605160	Agent - Casualty	7/11/2024
Active	Bolig, Jacquelyn M	605160	Agent - Property	7/11/2024
Active	Bolig, Jacquelyn M	605160	Surplus Lines Broker - Not Applicable	7/24/2024