DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Health Special Risk Inc	DOIID	397286	NAIC NPN	686964

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	11/30/1993		3/31/2025
Active	Non Resident	Agent	Casualty	5/14/2011		3/31/2025
Active	Non Resident	Agent	Life	5/14/2011		3/31/2025
Active	Non Resident	Agent	Health	5/14/2011		3/31/2025
Active	Non Resident	Agent	Property	5/14/2011		3/31/2025
Active	Non Resident	Independent Adjuster	Property & Casualty	12/15/2016		3/31/2025
* 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
Administrator	01/15/2025	03/31/2025
Agent	01/15/2025	03/31/2025
Independent Adjuster	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACE American Insurance Company	300625	Agent - Health	9/16/2014
Active	AXIS Insurance Company	301290	Agent - Health	11/15/2011
Active	Arch Insurance Company	300688	Agent - Health	9/22/2020
Active	Everest Reinsurance Company	301836	Agent - Health	6/6/2024
Active	Federal Insurance Company	301144	Agent - Health	7/26/2018
Inactive	Great American Assurance Company	300327	Agent - Casualty	8/25/2011	6/30/2014
Inactive	Great American Assurance Company	300327	Agent - Property	8/25/2011	6/30/2014
Active	Liberty Insurance Underwriters Inc.	301391	Agent - Casualty	9/18/2013
Active	Liberty Insurance Underwriters Inc.	301391	Agent - Health	9/18/2013
Active	Liberty Insurance Underwriters Inc.	301391	Agent - Property	9/18/2013
Active	Markel Insurance Company	301475	Agent - Casualty	6/24/2011
Active	Markel Insurance Company	301475	Agent - Health	6/24/2011
Active	Markel Insurance Company	301475	Agent - Property	6/24/2011
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	3/16/2022
Active	QBE Insurance Corporation	300515	Agent - Health	6/18/2012
Active	Starr Indemnity and Liability Company	301685	Agent - Health	11/29/2011
Active	Zurich American Insurance Company	301121	Agent - Casualty	12/30/2011
Active	Zurich American Insurance Company	301121	Agent - Property	12/30/2011

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Lenihan, Thomas Joseph	370579	Administrator - Not Applicable	11/30/1993	6/9/2023
Inactive	Munson, Philip K	734397	Agent - Casualty	5/14/2011	3/31/2023
Inactive	Munson, Philip K	734397	Agent - Health	5/14/2011	3/31/2023
Inactive	Munson, Philip K	734397	Agent - Life	5/14/2011	3/31/2023
Inactive	Munson, Philip K	734397	Agent - Property	5/14/2011	3/31/2023
Active	Ray, Catharine Arlene	910293	Independent Adjuster - Property & Casualty	12/15/2016
Active	Schall, Brandon	586851	Administrator - Not Applicable	6/29/2023
Active	Schall, Brandon	586851	Agent - Casualty	6/9/2023
Active	Schall, Brandon	586851	Agent - Health	6/9/2023
Active	Schall, Brandon	586851	Agent - Life	6/9/2023
Active	Schall, Brandon	586851	Agent - Property	6/9/2023