DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Conklin, Eric Allen	DOIID	545363	NAIC NPN	4587348

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	8/18/2021		11/30/2024
Active	Non Resident	Agent	Property	8/18/2021		11/30/2024
Inactive	Non Resident	Staff Adjuster	Property & Casualty	2/7/2011	11/30/2020
Active	Non Resident	Surplus Lines Broker	Not Applicable	10/12/2021		11/30/2024
* 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	09/15/2024	11/30/2024
Surplus Lines Broker	09/15/2024	11/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Accelerant National Insurance Company	538882	Agent - Casualty	10/7/2021
Active	Accelerant National Insurance Company	538882	Agent - Property	10/7/2021
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	10/12/2009	11/30/2010
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	10/12/2009	11/30/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Rokstone Agriculture Risks Underwriting Llc	1162165	Agent - Casualty	2/24/2022
Active	Rokstone Agriculture Risks Underwriting Llc	1162165	Agent - Property	10/7/2021
Active	Rokstone Agriculture Risks Underwriting Llc	1162165	Surplus Lines Broker - Not Applicable	10/19/2021
Active	Rokstone Construction Risk Underwriters Ltd	1065768	Agent - Casualty	3/4/2024
Active	Rokstone Construction Risk Underwriters Ltd	1065768	Agent - Property	3/4/2024
Active	Rokstone Construction Risk Underwriters Ltd	1065768	Surplus Lines Broker - Not Applicable	3/4/2024