DEPARTMENT OF INSURANCE
Affiliations
NameInternational Marketing Adm &Ins Brokerage CorpDOIID549676NAIC NPN3687017
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentCasualty11/15/2012 3/31/2026
ActiveNon ResidentAgentProperty11/15/2012 3/31/2026
ActiveNon ResidentAgentLife9/26/2002 3/31/2026
ActiveNon ResidentAgentHealth9/26/2002 3/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202603/31/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveACE American Insurance Company300625Agent - Health11/11/2002 
InactiveAF&L Insurance Company301582Agent - Health4/1/200411/1/2006
InactiveAXA XL Insurance Company Americas300979Agent - Health5/2/20199/20/2022
ActiveAetna Health Inc. (PA)660717Agent - Health3/14/2012 
ActiveAetna Life Insurance Company301140Agent - Health3/14/2012 
ActiveAetna Life Insurance Company301140Agent - Life3/14/2012 
InactiveAmerican General Assurance Company300586Agent - Health7/1/200912/31/2012
InactiveAmerican General Assurance Company300586Agent - Life7/1/200912/31/2012
InactiveAmerican General Life Insurance Company301585Agent - Health12/31/20124/9/2019
InactiveAmerican General Life Insurance Company301585Agent - Life12/31/20124/9/2019
InactiveAmerican General Life Insurance Company of Delaware301057Agent - Health6/1/200712/31/2012
InactiveAmerican General Life Insurance Company of Delaware301057Agent - Life6/1/200712/31/2012
ActiveArch Insurance Company300688Agent - Health6/27/2022 
InactiveAthene Annuity and Life Company301893Agent - Health10/20/20081/5/2011
InactiveAthene Annuity and Life Company301893Agent - Life10/20/20081/5/2011
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Casualty1/7/201312/3/2014
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Property1/7/201312/3/2014
ActiveBerkley Life and Health Insurance Company301421Agent - Health2/23/2017 
ActiveEverest Denali Insurance Company941054Agent - Casualty11/8/2023 
ActiveEverest Denali Insurance Company941054Agent - Health11/8/2023 
ActiveEverest Denali Insurance Company941054Agent - Property11/8/2023 
ActiveEverest Reinsurance Company301836Agent - Casualty11/8/2023 
ActiveEverest Reinsurance Company301836Agent - Health11/8/2023 
ActiveEverest Reinsurance Company301836Agent - Property11/8/2023 
ActiveFederal Insurance Company301144Agent - Health5/15/2003 
InactiveGarden State Life Insurance Company300610Agent - Health5/17/20062/18/2015
InactiveGarden State Life Insurance Company300610Agent - Life5/17/20062/18/2015
ActiveHartford Life and Accident Insurance Company300878Agent - Health10/2/2013 
ActiveHartford Life and Accident Insurance Company300878Agent - Life10/2/2013 
InactiveHumana Health Plan, Inc.300142Agent - Health7/27/20129/3/2013
InactiveHumana Insurance Company301104Agent - Health7/27/20129/3/2013
InactiveHumana Insurance Company301104Agent - Life7/27/20129/3/2013
ActiveIndemnity Insurance Company of North America301760Agent - Casualty1/14/2014 
ActiveIndemnity Insurance Company of North America301760Agent - Property1/14/2014 
ActiveIndependence American Insurance Company524747Agent - Casualty5/20/2025 
ActiveIndependence American Insurance Company524747Agent - Property5/20/2025 
InactiveKanawha Insurance Company300127Agent - Health7/27/20129/3/2013
InactiveKanawha Insurance Company300127Agent - Life7/27/20129/3/2013
ActiveLiberty Insurance Underwriters Inc.301391Agent - Casualty9/23/2013 
ActiveLiberty Insurance Underwriters Inc.301391Agent - Health9/23/2013 
ActiveLiberty Insurance Underwriters Inc.301391Agent - Property9/23/2013 
ActiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Casualty11/18/2014 
ActiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Health9/24/2008 
ActiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Property11/18/2014 
ActiveNationwide Life Insurance Company300495Agent - Health3/1/2012 
ActiveNationwide Life Insurance Company300495Agent - Life3/1/2012 
ActiveNew York Life Insurance Company300431Agent - Health6/29/2009 
ActiveNew York Life Insurance Company300431Agent - Life6/29/2009 
InactiveProvident Life and Accident Insurance Company301525Agent - Health11/1/200211/29/2005
InactiveProvident Life and Accident Insurance Company301525Agent - Life11/1/200211/29/2005
InactiveStandard Fire Insurance Company (The)301068Agent - Casualty1/7/201312/3/2014
InactiveStandard Fire Insurance Company (The)301068Agent - Property1/7/201312/3/2014
ActiveStarNet Insurance Company502746Agent - Health2/23/2017 
InactiveThe Phoenix Insurance Company301502Agent - Casualty1/7/201312/3/2014
InactiveThe Phoenix Insurance Company301502Agent - Property1/7/201312/3/2014
InactiveTravelers Commercial Insurance Company301506Agent - Casualty1/7/201312/3/2014
InactiveTravelers Commercial Insurance Company301506Agent - Property1/7/201312/3/2014
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Casualty1/7/201312/3/2014
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Property1/7/201312/3/2014
InactiveTravelers Indemnity Company (The)301855Agent - Casualty1/7/201312/3/2014
InactiveTravelers Indemnity Company (The)301855Agent - Property1/7/201312/3/2014
InactiveTravelers Indemnity Company of America (The)301093Agent - Casualty1/7/201312/3/2014
InactiveTravelers Indemnity Company of America (The)301093Agent - Property1/7/201312/3/2014
InactiveUNUM Life Insurance Company of America300817Agent - Health9/26/200211/29/2005
InactiveUNUM Life Insurance Company of America300817Agent - Life9/26/200211/29/2005
ActiveUnited States Fire Insurance Company582240Agent - Casualty11/13/2018 
ActiveUnited States Fire Insurance Company582240Agent - Health3/25/2014 
ActiveUnited States Fire Insurance Company582240Agent - Property11/13/2018 
ActiveUnited States Life Insurance Company in the City of New York301126Agent - Health6/1/2004 
ActiveUnited States Life Insurance Company in the City of New York301126Agent - Life6/1/2004 
InactiveUnited of Omaha Life Insurance Company300156Agent - Health2/24/20121/26/2014
InactiveUnited of Omaha Life Insurance Company300156Agent - Life2/24/20121/26/2014
InactiveWilton Reassurance Life Company of New York300163Agent - Life11/18/20036/8/2006
ActiveZurich American Insurance Company301121Agent - Health8/27/2012 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveFerguson, Steven J 628043Agent - Casualty11/15/201210/30/2024
InactiveFerguson, Steven J 628043Agent - Property11/15/201210/30/2024
ActiveHarvin, James 500085Agent - Casualty11/12/2024 
ActiveHarvin, James 500085Agent - Property11/12/2024 
ActiveKlayman, Edward 319081Agent - Health9/26/2002 
ActiveKlayman, Edward 319081Agent - Life9/26/2002 

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