DEPARTMENT OF INSURANCE

Affiliations

Name	Willsey, John Stanley	DOIID	331370	NAIC NPN	2313205

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	8/15/2000		5/31/2027
Active	Non Resident	Agent	Casualty	8/15/2000		5/31/2027
Inactive	Non Resident	Agent	General Lines	10/6/1999	8/15/2000
Active	Non Resident	Surplus Lines Broker	Not Applicable	11/19/2002		5/31/2027
* 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	03/04/2025	03/04/2025	Yes
Surplus Lines Broker	03/15/2025	05/31/2025	03/04/2025	03/04/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACE American Insurance Company	300625	Agent - Casualty	6/8/2004
Inactive	ACE American Insurance Company	300625	Agent - General Lines	10/6/1999	8/15/2000
Active	ACE American Insurance Company	300625	Agent - Property	6/8/2004
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - General Lines	10/29/1999	8/15/2000
Active	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	6/8/2004
Active	ACE Property and Casualty Insurance Company	300520	Agent - Property	6/8/2004
Active	AGCS Marine Insurance Company	300403	Agent - Casualty	4/9/2019
Active	AGCS Marine Insurance Company	300403	Agent - Property	4/9/2019
Active	AIG Property Casualty Company	300621	Agent - Casualty	9/11/2000
Active	AIG Property Casualty Company	300621	Agent - Property	9/11/2000
Active	AIU Insurance Company	300729	Agent - Casualty	9/11/2000
Active	AIU Insurance Company	300729	Agent - Property	9/11/2000
Inactive	American Alternative Insurance Corporation	301697	Agent - Casualty	7/15/2003	9/14/2005
Inactive	American Alternative Insurance Corporation	301697	Agent - Property	7/15/2003	9/14/2005
Active	American Economy Insurance Company	300315	Agent - Casualty	11/13/2019
Active	American Economy Insurance Company	300315	Agent - Property	11/13/2019
Active	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	8/15/2000
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - General Lines	8/7/2000	8/15/2000
Active	American Guarantee and Liability Insurance Company	301216	Agent - Property	8/15/2000
Active	American Home Assurance Company	300246	Agent - Casualty	9/11/2000
Active	American Home Assurance Company	300246	Agent - Property	9/11/2000
Active	American Zurich Insurance Company	300592	Agent - Casualty	8/15/2000
Inactive	American Zurich Insurance Company	300592	Agent - General Lines	8/7/2000	8/15/2000
Active	American Zurich Insurance Company	300592	Agent - Property	8/15/2000
Active	Arch Insurance Company	300688	Agent - Casualty	11/23/2020
Active	Arch Insurance Company	300688	Agent - Property	11/23/2020
Active	Carolina Casualty Insurance Company	300271	Agent - Casualty	9/6/2024
Active	Commerce and Industry Insurance Company	300881	Agent - Casualty	9/11/2000
Active	Commerce and Industry Insurance Company	300881	Agent - Property	9/11/2000
Active	Employers Insurance Company of Wausau	301813	Agent - Casualty	10/8/2015
Active	Employers Insurance Company of Wausau	301813	Agent - Property	10/8/2015
Active	Fireman's Fund Insurance Company	301423	Agent - Casualty	3/13/2003
Active	Fireman's Fund Insurance Company	301423	Agent - Property	3/13/2003
Inactive	First National Insurance Company of America	301690	Agent - Casualty	10/7/2008	10/13/2022
Inactive	First National Insurance Company of America	301690	Agent - Property	10/7/2008	10/13/2022
Active	General Insurance Company of America	300261	Agent - Casualty	10/7/2008
Active	General Insurance Company of America	300261	Agent - Property	10/7/2008
Inactive	Great American Insurance Company	301586	Agent - Casualty	9/25/2007	7/1/2014
Inactive	Great American Insurance Company	301586	Agent - Property	9/25/2007	7/1/2014
Active	Great Midwest Insurance Company	301418	Agent - Casualty	2/25/2016
Active	Great Midwest Insurance Company	301418	Agent - Property	2/25/2016
Active	Imperium Insurance Company	300804	Agent - Casualty	2/25/2016
Active	Imperium Insurance Company	300804	Agent - Property	2/25/2016
Active	Indemnity Insurance Company of North America	301760	Agent - Casualty	6/8/2004
Active	Indemnity Insurance Company of North America	301760	Agent - Property	6/8/2004
Active	Insurance Company of the State of Pennsylvania	300807	Agent - Casualty	9/11/2000
Active	Insurance Company of the State of Pennsylvania	300807	Agent - Property	9/11/2000
Active	Liberty Insurance Underwriters Inc.	301391	Agent - Casualty	8/13/2015
Active	Liberty Insurance Underwriters Inc.	301391	Agent - Property	8/13/2015
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	10/8/2015
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Property	10/8/2015
Active	Liberty Mutual Insurance Company	301159	Agent - Casualty	8/13/2015
Active	Liberty Mutual Insurance Company	301159	Agent - Property	8/13/2015
Active	Midvale Indemnity Company	300292	Agent - Casualty	10/31/2023
Active	Midvale Indemnity Company	300292	Agent - Property	10/31/2023
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	9/11/2000
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	9/11/2000
Active	Navigators Insurance Company	301312	Agent - Casualty	3/16/2020
Active	Navigators Insurance Company	301312	Agent - Property	3/16/2020
Active	QBE Insurance Corporation	300515	Agent - Casualty	5/5/2020
Active	QBE Insurance Corporation	300515	Agent - Property	5/5/2020
Inactive	RLI Insurance Company	301217	Agent - Casualty	4/27/2001	4/22/2010
Inactive	RLI Insurance Company	301217	Agent - Property	4/27/2001	4/22/2010
Active	RSUI Indemnity Company	300513	Agent - Casualty	7/10/2006
Active	RSUI Indemnity Company	300513	Agent - Property	7/10/2006
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	10/7/2008
Active	SAFECO Insurance Company of America	300159	Agent - Property	10/7/2008
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	11/13/2019
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	11/13/2019
Active	Starr Indemnity and Liability Company	301685	Agent - Casualty	4/23/2012
Active	Starr Indemnity and Liability Company	301685	Agent - Property	4/23/2012
Inactive	TIG Insurance Company	301750	Agent - Casualty	8/22/2002	3/6/2003
Inactive	TIG Insurance Company	301750	Agent - Property	8/22/2002	3/6/2003
Inactive	Westchester Fire Insurance Company	301414	Agent - Casualty	6/8/2004	1/1/2011
Active	Westchester Fire Insurance Company	300990	Agent - Casualty	1/1/2011
Inactive	Westchester Fire Insurance Company	301414	Agent - Property	6/8/2004	1/1/2011
Active	Westchester Fire Insurance Company	300990	Agent - Property	1/1/2011
Active	Zurich American Insurance Company	301121	Agent - Casualty	8/15/2000
Inactive	Zurich American Insurance Company	301121	Agent - General Lines	8/7/2000	8/15/2000
Active	Zurich American Insurance Company	301121	Agent - Property	8/15/2000
Active	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	8/15/2000
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - General Lines	8/7/2000	8/15/2000
Active	Zurich American Insurance Company of Illinois	301805	Agent - Property	8/15/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Amwins Brokerage Of New England LLC	585111	Agent - Property	2/26/2004	11/30/2022
Inactive	Amwins Brokerage Of New England LLC	585111	Agent - Casualty	2/26/2004	11/30/2022
Inactive	Amwins Brokerage Of New England LLC	585111	Surplus Lines Broker - Not Applicable	1/20/2011	11/30/2022
Active	Amwins Insurance Brokerage LLC	624422	Agent - Property	5/24/2022
Active	Amwins Insurance Brokerage LLC	624422	Agent - Casualty	5/24/2022
Active	Amwins Insurance Brokerage LLC	624422	Surplus Lines Broker - Not Applicable	5/24/2022