DEPARTMENT OF INSURANCE

Affiliations

Name	Ciasulli, Amy M	DOIID	348261	NAIC NPN	2349092

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Adjuster	Independent	10/14/1999	8/28/2000
Active	Non Resident	Agent	Property	3/4/2013		7/31/2025
Active	Non Resident	Agent	Personal Lines	3/4/2013		7/31/2025
Active	Non Resident	Agent	Health	3/4/2013		7/31/2025
Active	Non Resident	Agent	Casualty	3/4/2013		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

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	ACE American Insurance Company	300625	Agent - Casualty	6/4/2013
Active	ACE American Insurance Company	300625	Agent - Property	6/4/2013
Active	AIG Property Casualty Company	300621	Agent - Casualty	12/21/2015
Active	AIG Property Casualty Company	300621	Agent - Property	12/21/2015
Active	American Bankers Insurance Company of Florida	300360	Agent - Casualty	1/23/2023
Active	American Bankers Insurance Company of Florida	300360	Agent - Property	1/23/2023
Active	American Strategic Insurance Corp	883540	Agent - Casualty	2/4/2021
Active	American Strategic Insurance Corp	883540	Agent - Property	2/4/2021
Active	Bankers Standard Insurance Company	301620	Agent - Casualty	6/4/2013
Active	Bankers Standard Insurance Company	301620	Agent - Property	6/4/2013
Active	Cincinnati Casualty Company (The)	300308	Agent - Casualty	9/3/2020
Active	Cincinnati Casualty Company (The)	300308	Agent - Property	9/3/2020
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	8/3/2020
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	8/3/2020
Active	Great Northern Insurance Company	301107	Agent - Casualty	8/8/2017
Active	Great Northern Insurance Company	301107	Agent - Property	8/8/2017
Active	Indemnity Insurance Company of North America	301760	Agent - Casualty	6/4/2013
Active	Indemnity Insurance Company of North America	301760	Agent - Property	6/4/2013
Active	Independence American Insurance Company	524747	Agent - Casualty	11/10/2023
Active	Independence American Insurance Company	524747	Agent - Property	11/10/2023
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	6/23/2014
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	10/31/2014
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	6/23/2014
Active	Pacific Employers Insurance Company	301753	Agent - Casualty	6/4/2013
Active	Pacific Employers Insurance Company	301753	Agent - Property	6/4/2013
Active	Privilege Underwriters Reciprocal Exchange	769657	Agent - Personal Lines	10/29/2017
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	8/1/2013
Active	Progressive Casualty Insurance Company	300696	Agent - Property	8/1/2013
Active	Selective Insurance Company of the Southeast	300381	Agent - Casualty	3/19/2013
Active	Selective Insurance Company of the Southeast	300381	Agent - Property	3/19/2013
Active	United States Fire Insurance Company	582240	Agent - Casualty	3/17/2021
Active	United States Fire Insurance Company	582240	Agent - Property	3/17/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AIG Technical Services Inc.	401152	Adjuster - Independent	10/14/1999	8/28/2000
Inactive	Lane McVicker LLC	690244	Agent - Property	7/1/2013	3/31/2016
Inactive	Lane McVicker LLC	690244	Agent - Casualty	7/1/2013	3/31/2016
Active	NFP Property & Casualty Services Inc	666246	Agent - Health	10/31/2014
Active	NFP Property & Casualty Services Inc	666246	Agent - Property	6/23/2014
Active	NFP Property & Casualty Services Inc	666246	Agent - Casualty	6/23/2014