DEPARTMENT OF INSURANCE

Affiliations

Name	Financial & Professional Risk Solutions, Inc.	DOIID	396155	NAIC NPN	654362

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	7/9/1993	3/31/1995
Active	Non Resident	Agent	Property	2/17/2003		3/31/2027
Active	Non Resident	Agent	Casualty	2/17/2003		3/31/2027
Inactive	Non Resident	Agent	Health	2/17/2003	2/17/2004
Inactive	Non Resident	Agent	Life	2/17/2003	2/7/2004
Active	Non Resident	Surplus Lines Broker	Not Applicable	6/29/2006		3/31/2027
* 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	01/15/2025	03/31/2025	01/27/2025	01/27/2025	Yes
Surplus Lines Broker	01/15/2025	03/31/2025	01/27/2025	01/27/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Casualty	9/2/2004	1/3/2011
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Property	9/2/2004	1/3/2011
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	3/29/2007	6/29/2021
Inactive	American Family Home Insurance Company	301817	Agent - Property	3/29/2007	6/29/2021
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	8/12/2003	6/29/2021
Inactive	American Modern Home Insurance Company	300791	Agent - Property	8/12/2003	6/29/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	8/28/2012	6/29/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	8/28/2012	6/29/2021
Active	American National Property and Casualty Company	300392	Agent - Casualty	7/26/2021
Active	American National Property and Casualty Company	300392	Agent - Property	7/26/2021
Active	Argonaut Insurance Company	301422	Agent - Casualty	11/17/2013
Active	Argonaut Insurance Company	301422	Agent - Property	11/17/2013
Inactive	Capitol Indemnity Corporation	301030	Agent - Casualty	7/1/2005	1/8/2013
Inactive	Capitol Indemnity Corporation	301030	Agent - Property	7/1/2005	1/8/2013
Inactive	Continental Casualty Company	301019	Agent - Casualty	9/2/2004	1/3/2011
Inactive	Continental Casualty Company	301019	Agent - Property	9/2/2004	1/3/2011
Inactive	Continental Insurance Company (The)	301242	Agent - Casualty	2/24/2006	1/3/2011
Inactive	Continental Insurance Company (The)	301242	Agent - Property	2/24/2006	1/3/2011
Active	Federal Insurance Company	301144	Agent - Casualty	8/16/2007
Active	Federal Insurance Company	301144	Agent - Property	8/16/2007
Inactive	First American Property & Casualty Insurance Company	300331	Agent - Casualty	10/17/2005	4/4/2018
Inactive	First American Property & Casualty Insurance Company	300331	Agent - Property	10/17/2005	4/4/2018
Active	Great American Alliance Insurance Company	301247	Agent - Casualty	2/2/2011
Active	Great American Alliance Insurance Company	301247	Agent - Property	2/2/2011
Active	Great American Assurance Company	300327	Agent - Casualty	2/2/2011
Active	Great American Assurance Company	300327	Agent - Property	2/2/2011
Active	Great American Insurance Company	301586	Agent - Casualty	2/2/2011
Active	Great American Insurance Company	301586	Agent - Property	2/2/2011
Inactive	Harleysville Mutual Insurance Company	301393	Agent - Casualty	11/21/2008	5/1/2012
Inactive	Harleysville Mutual Insurance Company	301393	Agent - Property	11/21/2008	5/1/2012
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	8/25/2008	11/12/2009
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	8/25/2008	11/12/2009
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	8/25/2008	11/12/2009
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	8/25/2008	11/12/2009
Active	Hartford Fire Insurance Company	300628	Agent - Casualty	8/25/2008
Active	Hartford Fire Insurance Company	300628	Agent - Property	8/25/2008
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	8/25/2008	11/12/2009
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	8/25/2008	11/12/2009
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	8/25/2008	11/12/2009
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	8/25/2008	11/12/2009
Inactive	Integon National Insurance Company	301600	Agent - Casualty	1/18/2017	1/31/2025
Inactive	Integon National Insurance Company	301600	Agent - Property	1/18/2017	1/31/2025
Active	LM Insurance Corporation	301061	Agent - Casualty	4/2/2009
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	4/2/2009
Active	Liberty Mutual Insurance Company	301159	Agent - Casualty	4/2/2009
Inactive	MIC General Insurance Corporation	300398	Agent - Casualty	1/18/2017	1/31/2025
Inactive	MIC General Insurance Corporation	300398	Agent - Property	1/18/2017	1/31/2025
Active	National Casualty Company	301483	Agent - Casualty	7/2/2003
Active	National Casualty Company	301483	Agent - Property	7/2/2003
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Casualty	9/2/2004	1/3/2011
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Property	9/2/2004	1/3/2011
Inactive	Nationwide General Insurance Company	300603	Agent - Casualty	8/15/2019	11/21/2023
Inactive	Nationwide General Insurance Company	300603	Agent - Property	8/15/2019	11/21/2023
Inactive	Nationwide Insurance Company of America	300333	Agent - Casualty	8/15/2019	11/21/2023
Inactive	Nationwide Insurance Company of America	300333	Agent - Property	8/15/2019	11/21/2023
Active	Nationwide Mutual Insurance Company	301749	Agent - Casualty	5/1/2012
Active	Nationwide Mutual Insurance Company	301749	Agent - Property	5/1/2012
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	3/16/2016
Active	Ohio Casualty Insurance Company	301492	Agent - Property	3/16/2016
Inactive	Platte River Insurance Company	301089	Agent - Casualty	7/1/2005	1/8/2013
Inactive	Platte River Insurance Company	301089	Agent - Property	7/1/2005	1/8/2013
Active	Scottsdale Indemnity Company	300232	Agent - Casualty	7/2/2003
Active	Scottsdale Indemnity Company	300232	Agent - Property	7/2/2003
Active	Selective Insurance Company of the Southeast	300381	Agent - Casualty	11/15/2019
Active	Selective Insurance Company of the Southeast	300381	Agent - Property	11/15/2019
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	8/25/2008	11/12/2009
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	8/25/2008	11/12/2009
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	7/3/2003	12/9/2009
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	7/3/2003	12/9/2009
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Casualty	3/21/2005	12/9/2009
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Property	3/21/2005	12/9/2009
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Casualty	3/21/2005	12/9/2009
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Property	3/21/2005	12/9/2009
Inactive	Transcontinental Insurance Company	301731	Agent - Casualty	9/2/2004	9/26/2007
Inactive	Transcontinental Insurance Company	301731	Agent - Property	9/2/2004	9/26/2007
Inactive	Transportation Insurance Company	301575	Agent - Casualty	9/2/2004	1/3/2011
Inactive	Transportation Insurance Company	301575	Agent - Property	9/2/2004	1/3/2011
Inactive	TravCo Personal Insurance Company	301284	Agent - Casualty	10/7/2003	12/5/2013
Inactive	TravCo Personal Insurance Company	301284	Agent - Property	10/7/2003	12/5/2013
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	8/25/2008	11/12/2009
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	8/25/2008	11/12/2009
Inactive	Valley Forge Insurance Company	301052	Agent - Casualty	9/2/2004	1/3/2011
Inactive	Valley Forge Insurance Company	301052	Agent - Property	9/2/2004	1/3/2011
Inactive	Virginia Surety Company, Inc.	301022	Agent - Casualty	3/4/2004	3/27/2019
Inactive	Virginia Surety Company, Inc.	301022	Agent - Property	3/4/2004	3/27/2019

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Ackerman, Samuel M	647982	Agent - Casualty	3/31/2014
Active	Ackerman, Samuel M	647982	Agent - Property	3/31/2014
Active	Ackerman, Samuel M	647982	Surplus Lines Broker - Not Applicable	3/31/2014
Inactive	Becker, Jessica L	662751	Agent - Casualty	11/26/2008	2/28/2011
Inactive	Becker, Jessica L	662751	Agent - Property	11/26/2008	2/28/2011
Inactive	Brodsky, Lee Alan	382787	Agent - Casualty	2/17/2003	5/25/2004
Inactive	Brodsky, Lee Alan	382787	Agent - Property	2/17/2003	5/25/2004
Inactive	Castagna, Casey Jeanne	860195	Agent - Casualty	6/16/2017	1/6/2022
Inactive	Castagna, Casey Jeanne	860195	Agent - Property	6/16/2017	1/6/2022
Active	Delaney, Thomas	648369	Agent - Casualty	7/13/2016
Active	Delaney, Thomas	648369	Agent - Property	7/13/2016
Active	Delaney, Thomas	648369	Surplus Lines Broker - Not Applicable	7/13/2016
Inactive	Dubowski, John Anthony	384939	Agent - Casualty	2/17/2003	9/5/2003
Inactive	Dubowski, John Anthony	384939	Agent - Health	2/17/2003	9/5/2003
Inactive	Dubowski, John Anthony	384939	Agent - Life	2/17/2003	9/25/2003
Inactive	Dubowski, John Anthony	384939	Agent - Property	2/17/2003	9/5/2003
Inactive	Gower, Kevin L	820011	Agent - Casualty	6/9/2014	10/13/2022
Inactive	Gower, Kevin L	820011	Agent - Property	6/9/2014	10/13/2022
Inactive	Gulvas, Sharon	360213	Agent - Casualty	11/15/2006	9/21/2018
Inactive	Gulvas, Sharon	360213	Agent - Property	11/15/2006	9/21/2018
Inactive	Gulvas, Sharon	360213	Surplus Lines Broker - Not Applicable	11/15/2006	9/21/2018
Inactive	Handler, Robert P	775948	Agent - Casualty	3/31/2014	6/12/2019
Inactive	Handler, Robert P	775948	Agent - Property	3/31/2014	6/12/2019
Inactive	Handler, Robert P	775948	Surplus Lines Broker - Not Applicable	3/31/2014	12/31/2019
Inactive	Heller, Maria Rita	768944	Agent - Casualty	3/31/2014	6/26/2019
Inactive	Heller, Maria Rita	768944	Agent - Property	3/31/2014	6/26/2019
Inactive	Heller, Maria Rita	768944	Surplus Lines Broker - Not Applicable	3/31/2014	7/28/2021
Inactive	Hildebrand, James	633090	Agent - Casualty	5/27/2014	12/8/2016
Inactive	Hildebrand, James	633090	Agent - Property	5/27/2014	12/8/2016
Inactive	Hill, Heather	624189	Agent - Casualty	6/26/2007	6/12/2009
Inactive	Hill, Heather	624189	Agent - Property	6/26/2007	6/12/2009
Inactive	Kaplan, William	613839	Agent - Casualty	1/14/2008	8/16/2011
Inactive	Kaplan, William	613839	Agent - Property	1/14/2008	8/16/2011
Inactive	Keyser, Nicholas	904114	Agent - Casualty	1/22/2016	7/7/2017
Inactive	Keyser, Nicholas	904114	Agent - Property	1/22/2016	7/7/2017
Inactive	Lawrence, Robert L	1133476	Agent - Casualty	6/16/2022	8/24/2023
Inactive	Lawrence, Robert L	1133476	Agent - Property	6/16/2022	8/24/2023
Inactive	Lemarbre, Timothy D	631789	Agent - Casualty	3/31/2014	7/26/2016
Inactive	Lemarbre, Timothy D	631789	Agent - Property	3/31/2014	7/26/2016
Inactive	Lemarbre, Timothy D	631789	Surplus Lines Broker - Not Applicable	3/31/2014	7/26/2016
Inactive	McCoy, Timothy Rex	332417	Agent - Casualty	9/10/2009	9/2/2022
Inactive	McCoy, Timothy Rex	332417	Agent - Property	9/10/2009	9/2/2022
Inactive	McCoy, Timothy Rex	332417	Surplus Lines Broker - Not Applicable	9/10/2009	9/2/2022
Active	Mcdowell, Marie Ann	1004238	Agent - Casualty	1/24/2019
Active	Mcdowell, Marie Ann	1004238	Agent - Property	1/24/2019
Inactive	Mcguire, Edward	772622	Agent - Casualty	3/31/2014	7/11/2019
Inactive	Mcguire, Edward	772622	Agent - Property	3/31/2014	7/11/2019
Inactive	Mcguire, Edward	772622	Surplus Lines Broker - Not Applicable	3/31/2014	8/12/2019
Active	Mirabelli, Katherine	1365834	Agent - Casualty	11/14/2024
Active	Mirabelli, Katherine	1365834	Agent - Property	11/14/2024
Active	Mirabelli, Katherine	1365834	Surplus Lines Broker - Not Applicable	10/11/2024
Inactive	Nies, Mark A	846024	Agent - Casualty	1/12/2022	8/6/2024
Inactive	Nies, Mark A	846024	Agent - Property	1/12/2022	8/6/2024
Inactive	Nies, Mark A	846024	Surplus Lines Broker - Not Applicable	4/12/2018	8/6/2024
Inactive	Nilles, Joanne	616367	Agent - Casualty	5/27/2014	8/11/2021
Inactive	Nilles, Joanne	616367	Agent - Property	5/27/2014	8/11/2021
Active	Oestreich, Christopher T	774224	Agent - Casualty	1/12/2022
Active	Oestreich, Christopher T	774224	Agent - Property	1/12/2022
Active	Oestreich, Christopher T	774224	Surplus Lines Broker - Not Applicable	3/31/2014
Inactive	Plaskon, Amy E	759846	Agent - Casualty	6/9/2014	10/29/2019
Inactive	Plaskon, Amy E	759846	Agent - Property	6/9/2014	10/29/2019
Inactive	Rankin, Kevin M	672520	Agent - Casualty	3/5/2008	1/15/2009
Inactive	Rankin, Kevin M	672520	Agent - Property	3/5/2008	1/15/2009
Active	Rodriguez, Veronica	756627	Agent - Casualty	5/27/2014
Active	Rodriguez, Veronica	756627	Agent - Property	5/27/2014
Inactive	Roosey, Karen L	784350	Agent - Casualty	6/9/2014	1/15/2025
Inactive	Roosey, Karen L	784350	Agent - Property	6/9/2014	1/15/2025
Active	Skiles, Douglas Craig	783226	Agent - Casualty	6/9/2014
Active	Skiles, Douglas Craig	783226	Agent - Property	6/9/2014
Inactive	Small, Patrick S	510004	Agent - Casualty	3/8/2004	3/13/2007
Inactive	Small, Patrick S	510004	Agent - Property	3/8/2004	3/13/2007
Inactive	Small, Patrick S	510004	Surplus Lines Broker - Not Applicable	9/6/2006	1/14/2008
Inactive	Tisdale, Gary J	674777	Agent - Casualty	3/31/2014	6/30/2017
Inactive	Tisdale, Gary J	674777	Agent - Property	3/31/2014	6/30/2017
Inactive	Tisdale, Gary J	674777	Surplus Lines Broker - Not Applicable	3/31/2014	6/30/2017
Inactive	Tomlinson, Mark	659912	Agent - Casualty	9/17/2007	1/15/2009
Inactive	Tomlinson, Mark	659912	Agent - Property	9/17/2007	1/15/2009
Active	Villasenor, Maria G	1226318	Agent - Casualty	9/30/2022
Active	Villasenor, Maria G	1226318	Agent - Property	9/30/2022
Active	Villasenor, Maria G	1226318	Surplus Lines Broker - Not Applicable	9/30/2022
Inactive	Waller, Kimberly Lynne	591141	Agent - Casualty	9/13/2004	8/14/2006
Inactive	Waller, Kimberly Lynne	591141	Agent - Property	9/13/2004	8/14/2006
Inactive	Waller, Kimberly Lynne	591141	Surplus Lines Broker - Not Applicable	9/6/2006	3/13/2007