DEPARTMENT OF INSURANCE

Affiliations

Name	AmWins Program Underwriters, Inc	DOIID	521669	NAIC NPN	3341934

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	3/4/2001	3/31/2027
Active	Non Resident	Agent	Property	3/4/2001	3/31/2027
Active	Non Resident	Independent Adjuster	Property & Casualty	10/31/2017	3/31/2027
Denied	Non Resident	Managing General Agent	Not Applicable
Active	Non Resident	Surplus Lines Broker	Not Applicable	1/28/2008	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	12/31/2024	12/31/2024	Yes
Independent Adjuster	01/15/2025	03/31/2025	12/31/2024	12/31/2024	Yes
Surplus Lines Broker	01/15/2025	03/31/2025	12/31/2024	12/31/2024	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	2/15/2007
Active	ACE American Insurance Company	300625	Agent - Property	2/15/2007
Active	ACE Fire Underwriters Insurance Company	301679	Agent - Casualty	2/15/2007
Active	ACE Fire Underwriters Insurance Company	301679	Agent - Property	2/15/2007
Active	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	2/15/2007
Active	ACE Property and Casualty Insurance Company	300520	Agent - Property	2/15/2007
Active	AIG Assurance Company	300897	Agent - Casualty	11/19/2023
Active	AIG Assurance Company	300897	Agent - Property	11/19/2023
Active	AIG Property Casualty Company	300621	Agent - Casualty	11/19/2023
Active	AIG Property Casualty Company	300621	Agent - Property	11/19/2023
Active	AIU Insurance Company	300729	Agent - Casualty	11/19/2023
Active	AIU Insurance Company	300729	Agent - Property	11/19/2023
Active	Allied World Specialty Insurance Company	301088	Agent - Casualty	12/7/2006
Active	Allied World Specialty Insurance Company	301088	Agent - Property	12/7/2006
Active	Allmerica Financial Benefit Insurance Company	301223	Agent - Casualty	6/29/2023
Active	Allmerica Financial Benefit Insurance Company	301223	Agent - Property	6/29/2023
Active	AmTrust Insurance Company	300179	Agent - Casualty	3/14/2016
Active	AmTrust Insurance Company	300179	Agent - Property	3/14/2016
Inactive	American Alternative Insurance Corporation	301697	Agent - Casualty	7/13/2015	1/31/2022
Inactive	American Alternative Insurance Corporation	301697	Agent - Property	7/13/2015	1/31/2022
Active	American Automobile Insurance Company	300953	Agent - Casualty	9/5/2007
Active	American Automobile Insurance Company	300953	Agent - Property	9/5/2007
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Casualty	2/10/2010	11/14/2016
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Property	2/10/2010	11/14/2016
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	7/13/2015	2/7/2022
Inactive	American Family Home Insurance Company	301817	Agent - Property	7/13/2015	2/7/2022
Active	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	12/27/2017
Active	American Guarantee and Liability Insurance Company	301216	Agent - Property	12/27/2017
Active	American Home Assurance Company	300246	Agent - Casualty	2/25/2018
Active	American Home Assurance Company	300246	Agent - Property	2/25/2018
Active	American Interstate Insurance Company	301092	Agent - Casualty	8/17/2010
Active	American Interstate Insurance Company	301092	Agent - Property	8/17/2010
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	7/13/2015	2/7/2022
Inactive	American Southern Home Insurance Company	626276	Agent - Property	7/13/2015	2/7/2022
Active	American Zurich Insurance Company	300592	Agent - Casualty	12/27/2017
Active	American Zurich Insurance Company	300592	Agent - Property	12/27/2017
Inactive	Assurance Company of America	300432	Agent - Casualty	4/29/2002	12/1/2006
Inactive	Assurance Company of America	300432	Agent - Property	4/29/2002	12/1/2006
Active	Bankers Standard Insurance Company	301620	Agent - Casualty	2/15/2007
Active	Bankers Standard Insurance Company	301620	Agent - Property	2/15/2007
Active	Berkley Casualty Company	300731	Agent - Casualty	10/7/2019
Active	Berkley National Insurance Company	515028	Agent - Casualty	6/17/2021
Active	Berkley National Insurance Company	515028	Agent - Property	6/17/2021
Active	Berkley Regional Insurance Company	300920	Agent - Casualty	6/17/2021
Active	Berkley Regional Insurance Company	300920	Agent - Property	6/17/2021
Inactive	BrickStreet Mutual Insurance Company	709251	Agent - Casualty	11/27/2021	11/27/2021
Active	Carolina Casualty Insurance Company	300271	Agent - Casualty	10/7/2019
Active	Chubb Indemnity Insurance Company	300438	Agent - Casualty	4/10/2018
Active	Chubb Indemnity Insurance Company	300438	Agent - Property	4/10/2018
Active	Chubb National Insurance Company	301392	Agent - Casualty	4/10/2018
Active	Chubb National Insurance Company	301392	Agent - Property	4/10/2018
Active	Commerce and Industry Insurance Company	300881	Agent - Casualty	11/19/2023
Active	Commerce and Industry Insurance Company	300881	Agent - Property	11/19/2023
Active	Continental Casualty Company	301019	Agent - Casualty	2/10/2010
Active	Continental Casualty Company	301019	Agent - Property	2/10/2010
Inactive	Continental Insurance Company (The)	301242	Agent - Casualty	2/10/2010	11/14/2016
Inactive	Continental Insurance Company (The)	301242	Agent - Property	2/10/2010	11/14/2016
Inactive	Employers Assurance Company	300120	Agent - Casualty	2/4/2015	1/3/2024
Inactive	Employers Compensation Insurance Company	797885	Agent - Casualty	8/6/2018	1/3/2024
Inactive	Employers Preferred Insurance Company	520656	Agent - Casualty	2/4/2015	1/3/2024
Active	Executive Risk Indemnity Inc.	301510	Agent - Casualty	4/10/2018
Active	Federal Insurance Company	301144	Agent - Casualty	4/10/2018
Active	Federal Insurance Company	301144	Agent - Property	4/10/2018
Active	Fireman's Fund Insurance Company	301423	Agent - Casualty	6/25/2007
Active	Fireman's Fund Insurance Company	301423	Agent - Property	6/25/2007
Active	General Casualty Company of Wisconsin	300930	Agent - Casualty	5/13/2020
Active	General Casualty Company of Wisconsin	300930	Agent - Property	5/13/2020
Inactive	Glatfelter Insurance Company	301640	Agent - Casualty	4/29/2002	12/1/2006
Inactive	Glatfelter Insurance Company	301640	Agent - Property	4/29/2002	12/1/2006
Active	Granite State Insurance Company	300818	Agent - Casualty	3/20/2015
Active	Granite State Insurance Company	300818	Agent - Property	3/20/2015
Active	Great American Insurance Company	301586	Agent - Casualty	4/26/2021
Active	Great American Insurance Company	301586	Agent - Property	4/26/2021
Active	Great Divide Insurance Company	301636	Agent - Casualty	7/22/2010
Active	Great Divide Insurance Company	301636	Agent - Property	7/22/2010
Active	Great Northern Insurance Company	301107	Agent - Casualty	4/10/2018
Active	Great Northern Insurance Company	301107	Agent - Property	4/10/2018
Active	Hanover American Insurance Company (The)	300447	Agent - Casualty	6/29/2023
Active	Hanover American Insurance Company (The)	300447	Agent - Property	6/29/2023
Active	Hanover Insurance Company (The)	300508	Agent - Casualty	6/29/2023
Active	Hanover Insurance Company (The)	300508	Agent - Property	6/29/2023
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	12/10/2004	12/1/2006
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	12/10/2004	12/1/2006
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	12/10/2004	12/1/2006
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	12/10/2004	12/1/2006
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	12/10/2004	12/1/2006
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	12/10/2004	12/1/2006
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	12/10/2004	12/1/2006
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	12/10/2004	12/1/2006
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	12/10/2004	12/1/2006
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	12/10/2004	12/1/2006
Active	Illinois National Insurance Company	301367	Agent - Casualty	3/20/2015
Active	Illinois National Insurance Company	301367	Agent - Property	3/20/2015
Active	Indemnity Insurance Company of North America	301760	Agent - Casualty	2/15/2007
Active	Indemnity Insurance Company of North America	301760	Agent - Property	2/15/2007
Active	Insurance Company of the State of Pennsylvania	300807	Agent - Casualty	11/19/2023
Active	Insurance Company of the State of Pennsylvania	300807	Agent - Property	11/19/2023
Active	Key Risk Insurance Company	630687	Agent - Casualty	10/7/2019
Active	Markel Insurance Company	301475	Agent - Casualty	6/22/2018
Active	Markel Insurance Company	301475	Agent - Property	6/22/2018
Inactive	Maryland Casualty Company	301719	Agent - Casualty	4/29/2002	12/1/2006
Inactive	Maryland Casualty Company	301719	Agent - Property	4/29/2002	12/1/2006
Active	Massachusetts Bay Insurance Company	300898	Agent - Casualty	6/29/2023
Active	Massachusetts Bay Insurance Company	300898	Agent - Property	6/29/2023
Active	Midwest Employers Casualty Company	300124	Agent - Casualty	10/7/2019
Active	Milford Casualty Insurance Company	301460	Agent - Casualty	3/14/2016
Active	Milford Casualty Insurance Company	301460	Agent - Property	3/14/2016
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Casualty	2/10/2010	11/14/2016
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Property	2/10/2010	11/14/2016
Active	National Surety Corporation	300087	Agent - Casualty	6/25/2007
Active	National Surety Corporation	300087	Agent - Property	6/25/2007
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	11/19/2023
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	11/19/2023
Active	New Hampshire Insurance Company	301670	Agent - Casualty	3/20/2015
Active	New Hampshire Insurance Company	301670	Agent - Property	3/20/2015
Inactive	New York Marine and General Insurance Company	301932	Agent - Casualty	5/25/2012	8/29/2017
Inactive	New York Marine and General Insurance Company	301932	Agent - Property	5/25/2012	8/29/2017
Active	North Pointe Insurance Company	301029	Agent - Casualty	12/18/2012
Active	North Pointe Insurance Company	301029	Agent - Property	12/18/2012
Inactive	NorthStone Insurance Company	818905	Agent - Casualty	11/27/2021	11/27/2021
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	4/29/2002	12/1/2006
Inactive	Northern Insurance Company of New York	301317	Agent - Property	4/29/2002	12/1/2006
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	5/18/2022	3/29/2024
Inactive	Ohio Security Insurance Company	300622	Agent - Property	5/18/2022	3/29/2024
Active	Pacific Employers Insurance Company	301753	Agent - Casualty	2/15/2007
Active	Pacific Employers Insurance Company	301753	Agent - Property	2/15/2007
Active	Pacific Indemnity Company	301610	Agent - Casualty	4/10/2018
Active	Pacific Indemnity Company	301610	Agent - Property	4/10/2018
Inactive	Pie Insurance Company (The)	300514	Agent - Casualty	5/17/2007	9/2/2022
Inactive	Pie Insurance Company (The)	300514	Agent - Property	5/17/2007	9/2/2022
Inactive	PinnaclePoint Insurance Company	819085	Agent - Casualty	11/27/2021	11/27/2021
Active	Praetorian Insurance Company	301021	Agent - Casualty	11/10/2008
Active	Praetorian Insurance Company	301021	Agent - Property	11/10/2008
Active	QBE Insurance Corporation	300515	Agent - Casualty	12/18/2012
Active	QBE Insurance Corporation	300515	Agent - Property	12/18/2012
Active	Regent Insurance Company	300411	Agent - Casualty	5/13/2020
Active	Regent Insurance Company	300411	Agent - Property	5/13/2020
Active	Riverport Insurance Company	301714	Agent - Casualty	6/17/2021
Active	Riverport Insurance Company	301714	Agent - Property	6/17/2021
Active	Security National Insurance Company	301151	Agent - Casualty	3/14/2016
Active	Security National Insurance Company	301151	Agent - Property	3/14/2016
Active	Sequoia Insurance Company	628046	Agent - Casualty	5/5/2020
Active	Sequoia Insurance Company	628046	Agent - Property	5/5/2020
Active	Star Insurance Company	301553	Agent - Casualty	8/19/2019
Active	Star Insurance Company	301553	Agent - Property	8/19/2019
Active	StarNet Insurance Company	502746	Agent - Casualty	10/7/2019
Active	StarNet Insurance Company	502746	Agent - Property	6/17/2021
Active	StarStone National Insurance Company	300812	Agent - Casualty	2/13/2013
Active	StarStone National Insurance Company	300812	Agent - Property	2/13/2013
Inactive	State National Insurance Company, Inc.	300888	Agent - Casualty	1/28/2014	10/2/2015
Inactive	State National Insurance Company, Inc.	300888	Agent - Property	1/28/2014	10/2/2015
Inactive	SummitPoint Insurance Company	819084	Agent - Casualty	11/27/2021	11/27/2021
Active	Technology Insurance Company	613278	Agent - Casualty	3/14/2016
Active	Technology Insurance Company	613278	Agent - Property	3/14/2016
Inactive	Transportation Insurance Company	301575	Agent - Casualty	2/10/2010	11/14/2016
Inactive	Transportation Insurance Company	301575	Agent - Property	2/10/2010	11/14/2016
Active	Travelers Property Casualty Company of America	301649	Agent - Casualty	3/28/2024
Active	Travelers Property Casualty Company of America	301649	Agent - Property	3/28/2024
Inactive	Trumbull Insurance Company	300242	Agent - Casualty	12/10/2004	12/1/2006
Inactive	Trumbull Insurance Company	300242	Agent - Property	12/10/2004	12/1/2006
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	12/10/2004	12/1/2006
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	12/10/2004	12/1/2006
Inactive	Valley Forge Insurance Company	301052	Agent - Casualty	2/10/2010	11/14/2016
Inactive	Valley Forge Insurance Company	301052	Agent - Property	2/10/2010	11/14/2016
Active	Vigilant Insurance Company	301143	Agent - Casualty	4/10/2018
Active	Vigilant Insurance Company	301143	Agent - Property	4/10/2018
Inactive	WCF Select Insurance Company	301898	Agent - Casualty	10/11/2007	2/8/2022
Inactive	WCF Select Insurance Company	301898	Agent - Property	10/11/2007	2/8/2022
Active	Wesco Insurance Company	300534	Agent - Casualty	3/14/2016
Active	Wesco Insurance Company	300534	Agent - Property	3/14/2016
Inactive	Westchester Fire Insurance Company	301414	Agent - Casualty	2/15/2007	1/1/2011
Active	Westchester Fire Insurance Company	300990	Agent - Casualty	1/1/2011
Inactive	Westchester Fire Insurance Company	301414	Agent - Property	2/15/2007	1/1/2011
Active	Westchester Fire Insurance Company	300990	Agent - Property	1/1/2011
Active	Williamsburg National Insurance Company	301825	Agent - Casualty	8/19/2019
Active	Williamsburg National Insurance Company	301825	Agent - Property	8/19/2019
Active	Zurich American Insurance Company	301121	Agent - Casualty	12/27/2017
Active	Zurich American Insurance Company	301121	Agent - Property	12/27/2017
Active	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	12/27/2017
Active	Zurich American Insurance Company of Illinois	301805	Agent - Property	12/27/2017

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Adams, Roger C	616366	Agent - Casualty	11/22/2017	5/11/2023
Inactive	Adams, Roger C	616366	Agent - Property	11/22/2017	5/11/2023
Active	Anderson, Kerry L	736831	Agent - Casualty	11/22/2017
Active	Anderson, Kerry L	736831	Agent - Property	11/22/2017
Inactive	Anderson, Kerry L	736831	Surplus Lines Broker - Not Applicable	11/22/2017	11/8/2018
Inactive	Benjamin, Jeffrey L	816270	Agent - Casualty	11/22/2017	10/31/2021
Inactive	Benjamin, Jeffrey L	816270	Agent - Property	11/22/2017	10/31/2021
Inactive	Brooks, Robert D	583922	Agent - Casualty	1/23/2007	2/4/2013
Inactive	Brooks, Robert D	583922	Agent - Property	1/23/2007	2/5/2013
Active	Cermak, Matthew John	845464	Agent - Casualty	11/22/2017
Active	Cermak, Matthew John	845464	Agent - Property	11/22/2017
Active	Coy, Mark A	679529	Agent - Casualty	10/22/2009
Active	Coy, Mark A	679529	Agent - Property	10/22/2009
Active	Coy, Mark A	679529	Surplus Lines Broker - Not Applicable	10/22/2009
Active	Curran, Daniel W	797627	Agent - Casualty	11/22/2017
Active	Curran, Daniel W	797627	Agent - Property	11/22/2017
Active	Fabors, Shawn Obrien	829759	Agent - Casualty	1/12/2016
Active	Fabors, Shawn Obrien	829759	Agent - Property	1/12/2016
Inactive	Fabors, Shawn Obrien	829759	Surplus Lines Broker - Not Applicable	1/12/2016	3/31/2023
Active	Gaudette, Marie F	704957	Agent - Casualty	11/22/2017
Active	Gaudette, Marie F	704957	Agent - Property	11/22/2017
Active	Gaudette, Marie F	704957	Surplus Lines Broker - Not Applicable	11/22/2017
Inactive	George, Keith Alan	361013	Agent - Casualty	7/20/2007	8/13/2021
Inactive	George, Keith Alan	361013	Agent - Property	7/20/2007	8/13/2021
Inactive	Kelley, James Andrew	853604	Agent - Casualty	11/22/2017	3/13/2024
Inactive	Kelley, James Andrew	853604	Agent - Property	11/22/2017	3/13/2024
Inactive	Kelley, James Andrew	853604	Surplus Lines Broker - Not Applicable	11/22/2017	3/13/2024
Active	Loney, Kenneth James	539185	Independent Adjuster - Property & Casualty	10/31/2017
Active	McCloy, William R	608697	Agent - Casualty	1/23/2007
Active	McCloy, William R	608697	Agent - Property	1/23/2007
Active	McCloy, William R	608697	Surplus Lines Broker - Not Applicable	10/22/2009
Denied	Nevers, Sarah J	877959	Agent - Casualty
Denied	Nevers, Sarah J	877959	Agent - Property
Active	Newton, Jodie	724651	Agent - Casualty	4/9/2010
Active	Newton, Jodie	724651	Agent - Property	4/9/2010
Inactive	Paull, Ellen Louise	583740	Agent - Casualty	1/23/2007	4/2/2010
Inactive	Paull, Ellen Louise	583740	Agent - Property	1/23/2007	4/2/2010
Active	Taggart, John Lawrence	767975	Agent - Casualty	11/22/2017
Active	Taggart, John Lawrence	767975	Agent - Property	11/22/2017
Active	Taggart, John Lawrence	767975	Surplus Lines Broker - Not Applicable	11/22/2017
Inactive	Titus, James Edward	507029	Agent - Casualty	3/22/2007	11/2/2012
Inactive	Titus, James Edward	507029	Agent - Property	3/22/2007	11/2/2012
Inactive	Titus, James Edward	507029	Surplus Lines Broker - Not Applicable	1/28/2008	11/2/2012
Denied	Williams, Jean Hellums	835616	Agent - Casualty
Denied	Williams, Jean Hellums	835616	Agent - Property
Denied	Zito, Kay	793206	Agent - Casualty
Denied	Zito, Kay	793206	Agent - Property
Inactive	Zito, Kay	793206	Surplus Lines Broker - Not Applicable	2/4/2013	4/21/2023
Inactive	Zook, Harvey Jacob	507124	Agent - Casualty	3/4/2001	5/28/2021
Inactive	Zook, Harvey Jacob	507124	Agent - Property	3/4/2001	5/28/2021