DEPARTMENT OF INSURANCE

Affiliations

Name	VERITA CSG, INC.	DOIID	547391	NAIC NPN	953553

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	4/16/2002	3/31/2026
Active	Non Resident	Agent	Casualty	4/16/2002	3/31/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	10/9/2014	3/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	21st Century Centennial Insurance Company	301840	Agent - Casualty	3/22/2006	9/24/2011
Inactive	21st Century Centennial Insurance Company	301840	Agent - Property	3/22/2006	9/24/2011
Inactive	21st Century North America Insurance Company	300884	Agent - Casualty	3/22/2006	9/24/2011
Inactive	21st Century North America Insurance Company	300884	Agent - Property	3/22/2006	9/24/2011
Active	ACE American Insurance Company	300625	Agent - Casualty	3/27/2004
Active	ACE American Insurance Company	300625	Agent - Property	3/27/2004
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Casualty	3/27/2004	10/19/2007
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Property	3/27/2004	10/19/2007
Active	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	3/27/2004
Active	ACE Property and Casualty Insurance Company	300520	Agent - Property	3/27/2004
Inactive	AGCS Marine Insurance Company	300403	Agent - Casualty	9/15/2009	5/16/2011
Inactive	AGCS Marine Insurance Company	300403	Agent - Property	9/15/2009	5/16/2011
Inactive	American Economy Insurance Company	300315	Agent - Casualty	12/9/2011	3/29/2024
Inactive	American Economy Insurance Company	300315	Agent - Property	12/9/2011	3/29/2024
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	12/17/2012	10/13/2014
Inactive	American Family Home Insurance Company	301817	Agent - Property	12/17/2012	10/13/2014
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	2/5/2015	3/29/2024
Inactive	American Fire and Casualty Company	300567	Agent - Property	2/5/2015	3/29/2024
Active	American Home Assurance Company	300246	Agent - Casualty	3/22/2006
Active	American Home Assurance Company	300246	Agent - Property	3/22/2006
Inactive	American Interstate Insurance Company	301092	Agent - Casualty	9/9/2011	6/13/2019
Inactive	American Interstate Insurance Company	301092	Agent - Property	9/9/2011	6/13/2019
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	6/9/2010	8/22/2012
Inactive	American Modern Home Insurance Company	300791	Agent - Property	6/9/2010	8/22/2012
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	12/17/2012	10/13/2014
Inactive	American Modern Select Insurance Company	581481	Agent - Property	12/17/2012	10/13/2014
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	12/17/2012	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	12/17/2012	11/14/2021
Inactive	American States Insurance Company	301230	Agent - Casualty	12/9/2011	3/29/2024
Inactive	American States Insurance Company	301230	Agent - Property	12/9/2011	3/29/2024
Inactive	Arch Insurance Company	300688	Agent - Casualty	5/23/2011	1/16/2020
Inactive	Arch Insurance Company	300688	Agent - Property	5/23/2011	1/16/2020
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	7/1/2009	12/5/2013
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	7/1/2009	12/5/2013
Active	Catlin Insurance Company, Inc.	300979	Agent - Casualty	8/17/2009
Active	Catlin Insurance Company, Inc.	300979	Agent - Property	8/17/2009
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	7/1/2009	12/5/2013
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	7/1/2009	12/5/2013
Inactive	Chicago Insurance Company	300295	Agent - Casualty	9/15/2009	5/16/2011
Inactive	Chicago Insurance Company	300295	Agent - Property	9/15/2009	5/16/2011
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	2/5/2015	10/13/2022
Inactive	Consolidated Insurance Company	300943	Agent - Property	2/5/2015	10/13/2022
Active	Continental Casualty Company	301019	Agent - Casualty	4/30/2018
Active	Continental Casualty Company	301019	Agent - Property	4/30/2018
Active	Employers Insurance Company of Wausau	301813	Agent - Casualty	3/27/2009
Active	Employers Insurance Company of Wausau	301813	Agent - Property	3/27/2009
Active	Endurance American Insurance Company	724397	Agent - Casualty	6/11/2019
Active	Endurance Assurance Corporation	670371	Agent - Casualty	6/11/2019
Inactive	Farmington Casualty Company	301137	Agent - Casualty	7/1/2009	12/5/2013
Inactive	Farmington Casualty Company	301137	Agent - Property	7/1/2009	12/5/2013
Active	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	3/27/2009
Active	First Liberty Insurance Corporation (The)	301060	Agent - Property	3/27/2009
Active	Granite State Insurance Company	300818	Agent - Casualty	3/12/2009
Active	Granite State Insurance Company	300818	Agent - Property	3/12/2009
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	12/11/2003	11/7/2008
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	12/11/2003	11/7/2008
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	4/20/2009	12/7/2012
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	4/20/2009	12/7/2012
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	4/20/2009	12/7/2012
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	4/20/2009	12/7/2012
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	12/11/2003	11/7/2008
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	12/11/2003	11/7/2008
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	12/11/2003	11/7/2008
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	12/11/2003	11/7/2008
Active	Illinois National Insurance Company	301367	Agent - Casualty	3/12/2009
Active	Illinois National Insurance Company	301367	Agent - Property	3/12/2009
Active	Indemnity Insurance Company of North America	301760	Agent - Casualty	9/8/2004
Active	Indemnity Insurance Company of North America	301760	Agent - Property	9/8/2004
Inactive	Indiana Insurance Company	301909	Agent - Casualty	2/5/2015	2/3/2023
Inactive	Indiana Insurance Company	301909	Agent - Property	2/5/2015	2/3/2023
Active	LM Insurance Corporation	301061	Agent - Casualty	3/27/2009
Active	LM Insurance Corporation	301061	Agent - Property	3/27/2009
Active	Lexon Insurance Company	300352	Agent - Casualty	6/11/2019
Active	Liberty Insurance Corporation	300444	Agent - Casualty	3/27/2009
Active	Liberty Insurance Corporation	300444	Agent - Property	3/27/2009
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	3/27/2009
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Property	3/27/2009
Active	Liberty Mutual Insurance Company	301159	Agent - Casualty	3/27/2009
Active	Liberty Mutual Insurance Company	301159	Agent - Property	3/27/2009
Active	National Casualty Company	301483	Agent - Casualty	5/28/2009
Active	National Casualty Company	301483	Agent - Property	5/28/2009
Active	National Specialty Insurance Company	300993	Agent - Casualty	10/23/2023
Active	National Specialty Insurance Company	300993	Agent - Property	10/23/2023
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	10/2/2015
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	10/2/2015
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	2/5/2015	5/10/2024
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	2/5/2015	5/10/2024
Active	New Hampshire Insurance Company	301670	Agent - Casualty	3/12/2009
Active	New Hampshire Insurance Company	301670	Agent - Property	3/12/2009
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	2/5/2015	3/29/2024
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	2/5/2015	3/29/2024
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	2/5/2015	3/29/2024
Inactive	Ohio Security Insurance Company	300622	Agent - Property	2/5/2015	3/29/2024
Active	Peerless Indemnity Insurance Company	571682	Agent - Casualty	2/5/2015
Active	Peerless Indemnity Insurance Company	571682	Agent - Property	2/5/2015
Active	Peerless Insurance Company	301910	Agent - Casualty	2/5/2015
Active	Peerless Insurance Company	301910	Agent - Property	2/5/2015
Inactive	Praetorian Insurance Company	301021	Agent - Casualty	11/1/2016	4/6/2021
Inactive	Praetorian Insurance Company	301021	Agent - Property	11/1/2016	4/6/2021
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	3/24/2004	6/12/2010
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	3/24/2004	6/12/2010
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	9/5/2002	6/12/2010
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	9/5/2002	6/12/2010
Active	QBE Insurance Corporation	300515	Agent - Casualty	11/1/2016
Active	QBE Insurance Corporation	300515	Agent - Property	11/1/2016
Active	Scottsdale Indemnity Company	300232	Agent - Casualty	5/28/2009
Active	Scottsdale Indemnity Company	300232	Agent - Property	5/28/2009
Inactive	Security National Insurance Company	301151	Agent - Casualty	2/23/2016	11/15/2021
Inactive	Security National Insurance Company	301151	Agent - Property	2/23/2016	11/15/2021
Active	Seneca Insurance Company Inc.	301762	Agent - Casualty	4/5/2019
Active	Seneca Insurance Company Inc.	301762	Agent - Property	4/5/2019
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	12/7/2004	12/5/2013
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	12/7/2004	12/5/2013
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Casualty	7/1/2009	12/5/2013
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Property	7/1/2009	12/5/2013
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Casualty	7/1/2009	12/5/2013
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Property	7/1/2009	12/5/2013
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	7/1/2009	12/5/2013
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	7/1/2009	12/5/2013
Inactive	Technology Insurance Company	613278	Agent - Casualty	2/23/2016	11/15/2021
Inactive	Technology Insurance Company	613278	Agent - Property	2/23/2016	11/15/2021
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	7/1/2009	12/5/2013
Inactive	The Phoenix Insurance Company	301502	Agent - Property	7/1/2009	12/5/2013
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	7/1/2009	12/5/2013
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Property	7/1/2009	12/5/2013
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	7/1/2009	12/5/2013
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	7/1/2009	12/5/2013
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	8/4/2008	12/5/2013
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Property	8/4/2008	12/5/2013
Inactive	Travelers Commercial Insurance Company	301506	Agent - Casualty	7/1/2009	12/5/2013
Inactive	Travelers Commercial Insurance Company	301506	Agent - Property	7/1/2009	12/5/2013
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	7/1/2009	12/5/2013
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	7/1/2009	12/5/2013
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	7/1/2009	12/5/2013
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	7/1/2009	12/5/2013
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	7/1/2009	12/5/2013
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	7/1/2009	12/5/2013
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	7/1/2009	12/5/2013
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	7/1/2009	12/5/2013
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	7/1/2009	12/9/2019
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	7/1/2009	12/9/2019
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	12/11/2003	11/7/2008
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	12/11/2003	11/7/2008
Inactive	United Financial Casualty Company	301886	Agent - Casualty	3/14/2006	6/12/2010
Inactive	United Financial Casualty Company	301886	Agent - Property	3/14/2006	6/12/2010
Active	United States Fire Insurance Company	582240	Agent - Casualty	4/4/2019
Active	United States Fire Insurance Company	582240	Agent - Property	4/4/2019
Inactive	Wausau Business Insurance Company	301476	Agent - Casualty	3/27/2009	3/30/2015
Inactive	Wausau Business Insurance Company	301476	Agent - Property	3/27/2009	3/30/2015
Inactive	Wausau Underwriters Insurance Company	301105	Agent - Casualty	3/27/2009	5/9/2024
Inactive	Wausau Underwriters Insurance Company	301105	Agent - Property	3/27/2009	5/9/2024
Inactive	Wesco Insurance Company	300534	Agent - Casualty	2/23/2016	11/15/2021
Inactive	Wesco Insurance Company	300534	Agent - Property	2/23/2016	11/15/2021
Inactive	West American Insurance Company	301112	Agent - Casualty	2/5/2015	3/29/2024
Inactive	West American Insurance Company	301112	Agent - Property	2/5/2015	3/29/2024
Inactive	Westchester Fire Insurance Company	301414	Agent - Casualty	9/8/2004	1/1/2011
Active	Westchester Fire Insurance Company	300990	Agent - Casualty	1/1/2011
Inactive	Westchester Fire Insurance Company	301414	Agent - Property	9/8/2004	1/1/2011
Active	Westchester Fire Insurance Company	300990	Agent - Property	1/1/2011
Active	XL Insurance America, Inc.	300182	Agent - Casualty	7/29/2015
Active	XL Insurance America, Inc.	300182	Agent - Property	7/29/2015

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Adams, Roger C	616366	Agent - Casualty	5/11/2009	4/30/2015
Inactive	Adams, Roger C	616366	Agent - Property	5/11/2009	4/30/2015
Inactive	Chase, Brooks W	308108	Agent - Casualty	4/16/2002	3/1/2004
Inactive	Chase, Brooks W	308108	Agent - Property	4/16/2002	3/1/2004
Active	Chiang, Edward	1248472	Agent - Casualty	1/12/2023
Active	Chiang, Edward	1248472	Agent - Property	1/12/2023
Active	Chiang, Edward	1248472	Surplus Lines Broker - Not Applicable	1/31/2023
Active	Corrigan, Linda Lee	541769	Agent - Casualty	12/7/2015
Active	Corrigan, Linda Lee	541769	Agent - Property	12/7/2015
Inactive	Corrigan, Linda Lee	541769	Surplus Lines Broker - Not Applicable	11/18/2015	8/5/2020
Inactive	Croteau, Nicole	654354	Agent - Casualty	3/27/2009	7/25/2011
Inactive	Croteau, Nicole	654354	Agent - Property	3/27/2009	7/25/2011
Active	Dockery, Jason	934431	Agent - Casualty	8/21/2023
Active	Dockery, Jason	934431	Agent - Property	8/21/2023
Active	Dockery, Jason	934431	Surplus Lines Broker - Not Applicable	8/21/2023
Inactive	Hampson, David George	583788	Agent - Casualty	3/1/2004	6/8/2011
Inactive	Hampson, David George	583788	Agent - Property	3/1/2004	7/25/2011
Inactive	Harvey, Jeffrey D	907624	Agent - Casualty	3/8/2016	2/6/2018
Inactive	Harvey, Jeffrey D	907624	Agent - Property	3/8/2016	2/6/2018
Inactive	Holt, Robert D	701164	Agent - Casualty	4/16/2009	7/25/2011
Inactive	Holt, Robert D	701164	Agent - Property	4/16/2009	7/25/2011
Inactive	Hull, Christopher Scott	610513	Agent - Casualty	6/26/2020	2/2/2023
Inactive	Hull, Christopher Scott	610513	Agent - Property	6/26/2020	2/2/2023
Inactive	Hull, Christopher Scott	610513	Surplus Lines Broker - Not Applicable	6/26/2020	2/2/2023
Inactive	Kelley, James Andrew	853604	Agent - Casualty	6/24/2022	3/13/2024
Inactive	Kelley, James Andrew	853604	Agent - Property	6/24/2022	3/13/2024
Inactive	Kelley, James Andrew	853604	Surplus Lines Broker - Not Applicable	10/9/2014	2/8/2018
Inactive	Khoury, Margaret E	561201	Agent - Casualty	3/13/2009	2/10/2016
Inactive	Khoury, Margaret E	561201	Agent - Property	3/13/2009	2/10/2016
Inactive	Mcdowell, Larry Keith	707511	Agent - Casualty	7/15/2009	9/21/2015
Inactive	Mcdowell, Larry Keith	707511	Agent - Property	7/15/2009	9/21/2015
Inactive	Mcnally, Monica M	616382	Agent - Casualty	3/13/2009	12/30/2014
Inactive	Mcnally, Monica M	616382	Agent - Property	3/13/2009	12/30/2014
Inactive	Sacco, Stephanie	887331	Agent - Casualty	11/18/2015	4/20/2017
Inactive	Sacco, Stephanie	887331	Agent - Property	11/18/2015	4/20/2017
Inactive	Sullivan, Kevin	948860	Agent - Casualty	4/18/2017	3/3/2023
Inactive	Sullivan, Kevin	948860	Agent - Property	4/18/2017	3/3/2023
Inactive	Sullivan, Timothy	640656	Agent - Casualty	3/13/2009	7/25/2011
Inactive	Sullivan, Timothy	640656	Agent - Property	3/13/2009	7/25/2011
Inactive	Van Wert, Stephen S	622772	Agent - Casualty	8/31/2009	8/3/2016
Inactive	Van Wert, Stephen S	622772	Agent - Property	8/31/2009	8/3/2016