DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Levy, Max Andrew	DOIID	1387904	NAIC NPN	18780576

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	3/5/2025		10/31/2027
Active	Non Resident	Agent	Property	3/5/2025		10/31/2027
Active	Non Resident	Surplus Lines Broker	Not Applicable	3/18/2025		10/31/2027
* 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	Mount Vernon Fire Insurance Company	301397	Agent - Casualty	5/2/2025
Active	Mount Vernon Fire Insurance Company	301397	Agent - Property	5/2/2025
Active	State National Insurance Company, Inc.	300888	Agent - Casualty	5/15/2025
Active	State National Insurance Company, Inc.	300888	Agent - Property	5/15/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Simon Agency N Y Inc	980991	Agent - Casualty	5/5/2025
Active	Simon Agency N Y Inc	980991	Agent - Property	5/5/2025
Active	Simon Agency N Y Inc	980991	Surplus Lines Broker - Not Applicable	5/5/2025