DEPARTMENT OF INSURANCE

Affiliations

Name	Ups Capital Ins Agency Inc	DOIID	398341	NAIC NPN	2202058

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		3/31/2025
Active	Non Resident	Agent	Casualty	8/15/2000		3/31/2025
Denied	Non Resident	Agent	Health
Denied	Non Resident	Agent	Life
Inactive	Non Resident	Agent	General Lines	12/8/1999	8/15/2000
Active	Non Resident	Independent Adjuster	Property & Casualty	12/4/2015		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
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	AIG Property Casualty Company	300621	Agent - Casualty	6/21/2018
Active	AIG Property Casualty Company	300621	Agent - Property	6/21/2018
Active	American Home Assurance Company	300246	Agent - Casualty	10/5/2000
Active	American Home Assurance Company	300246	Agent - Property	10/5/2000
Active	Indemnity Insurance Company of North America	301760	Agent - Casualty	1/11/2003
Active	Indemnity Insurance Company of North America	301760	Agent - Property	1/11/2003
Active	Insurance Company of the State of Pennsylvania	300807	Agent - Casualty	10/5/2000
Active	Insurance Company of the State of Pennsylvania	300807	Agent - Property	10/5/2000
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	8/15/2000
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - General Lines	12/8/1999	8/15/2000
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	8/15/2000
Active	New Hampshire Insurance Company	301670	Agent - Casualty	6/21/2018
Active	New Hampshire Insurance Company	301670	Agent - Property	6/21/2018
Inactive	Northern Assurance Company of America The	301331	Agent - Casualty	10/16/2008	12/11/2012
Inactive	Northern Assurance Company of America The	301331	Agent - Property	10/16/2008	12/11/2012

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bentley, Perry Alan	754787	Independent Adjuster - Property & Casualty	12/4/2015	8/31/2016
Inactive	Cirone, Michael Joseph	581195	Agent - Casualty	2/9/2005	5/16/2005
Inactive	Cirone, Michael Joseph	581195	Agent - Property	2/9/2005	5/16/2005
Active	Dawson, Dominique Demitrious	1024827	Independent Adjuster - Property & Casualty	6/24/2020
Denied	Delaney, Thonisha Michelle	560343	Agent - Casualty
Denied	Delaney, Thonisha Michelle	560343	Agent - Property
Inactive	Flanagan, Heather Michelle	383574	Agent - Casualty	1/12/2004	2/9/2005
Inactive	Flanagan, Heather Michelle	383574	Agent - Property	1/12/2004	2/9/2005
Inactive	Hitchcox, William Clarence	369167	Agent - Casualty	8/15/2000	4/22/2002
Inactive	Hitchcox, William Clarence	369167	Agent - General Lines	12/8/1999	8/15/2000
Inactive	Hitchcox, William Clarence	369167	Agent - Property	8/15/2000	4/22/2002
Inactive	Jones, Hathaway	536860	Agent - Casualty	1/12/2004	7/31/2010
Inactive	Jones, Hathaway	536860	Agent - Property	1/12/2004	7/31/2010
Inactive	Morsman, Lisa Mattingly	590003	Agent - Casualty	2/9/2005	1/23/2006
Inactive	Morsman, Lisa Mattingly	590003	Agent - Property	2/9/2005	1/23/2006
Inactive	Mounts, Lonnie David	321696	Agent - Casualty	8/15/2000	6/12/2002
Inactive	Mounts, Lonnie David	321696	Agent - General Lines	12/8/1999	8/15/2000
Inactive	Mounts, Lonnie David	321696	Agent - Property	8/15/2000	6/12/2002
Inactive	Plourde, Michael David	509192	Agent - Casualty	6/7/2001	2/28/2010
Denied	Plourde, Michael David	509192	Agent - Health
Denied	Plourde, Michael David	509192	Agent - Life
Inactive	Plourde, Michael David	509192	Agent - Property	6/7/2001	2/28/2010
Denied	Ravenell, Landanese Miyoko	584233	Agent - Casualty
Denied	Ravenell, Landanese Miyoko	584233	Agent - Property
Inactive	Robb, Christopher Lee	626072	Agent - Casualty	4/11/2006	7/21/2016
Inactive	Robb, Christopher Lee	626072	Agent - Property	4/11/2006	7/21/2016
Active	Robinson, Mark Joseph	655959	Agent - Casualty	8/1/2016
Active	Robinson, Mark Joseph	655959	Agent - Property	8/1/2016
Inactive	Sabula, Michael	624743	Agent - Casualty	4/11/2006	8/31/2007
Inactive	Sabula, Michael	624743	Agent - Property	4/11/2006	8/31/2007
Inactive	Sewell, Karletta Diane	550388	Agent - Casualty	1/12/2004	1/27/2006
Inactive	Sewell, Karletta Diane	550388	Agent - Property	1/12/2004	1/27/2006
Inactive	Terry, Jonathan H	367143	Agent - Casualty	8/15/2000	11/30/2014
Inactive	Terry, Jonathan H	367143	Agent - General Lines	12/8/1999	8/15/2000
Inactive	Terry, Jonathan H	367143	Agent - Property	8/15/2000	11/30/2014
Denied	Turney, Tom Helm	641986	Agent - Casualty
Denied	Turney, Tom Helm	641986	Agent - Property
Inactive	Turney, Tom Helm	641986	Independent Adjuster - Property & Casualty	7/21/2016	3/31/2020
Inactive	Villalba, Hernan Anival	562663	Agent - Casualty	2/15/2005	2/7/2011
Inactive	Villalba, Hernan Anival	562663	Agent - Property	2/15/2005	2/7/2011
Inactive	Winter, Robert	519535	Agent - Casualty	1/12/2004	2/9/2005
Inactive	Winter, Robert	519535	Agent - Property	1/12/2004	2/9/2005