DEPARTMENT OF INSURANCE

Affiliations

Name	Symphony Risk Solutions Insurance Services Inc	DOIID	551276	NAIC NPN	1912103

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	7/2/2003	3/31/2025
Active	Non Resident	Agent	Life	2/2/2006	3/31/2025
Active	Non Resident	Agent	Casualty	7/2/2003	3/31/2025
Active	Non Resident	Agent	Health	2/2/2006	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

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	3/20/2006	9/17/2011
Inactive	21st Century Centennial Insurance Company	301840	Agent - Property	3/20/2006	9/17/2011
Inactive	21st Century North America Insurance Company	300884	Agent - Casualty	3/20/2006	9/17/2011
Inactive	21st Century North America Insurance Company	300884	Agent - Property	3/20/2006	9/17/2011
Inactive	ACE American Insurance Company	300625	Agent - Casualty	5/10/2024	9/25/2024
Inactive	ACE American Insurance Company	300625	Agent - Property	5/10/2024	9/25/2024
Active	AIG Property Casualty Company	300621	Agent - Casualty	5/14/2009
Active	AIG Property Casualty Company	300621	Agent - Property	5/14/2009
Active	AmTrust Insurance Company	300179	Agent - Casualty	8/12/2022
Active	AmTrust Insurance Company	300179	Agent - Property	8/12/2022
Active	American Alternative Insurance Corporation	301697	Agent - Casualty	1/30/2023
Active	American Alternative Insurance Corporation	301697	Agent - Property	1/30/2023
Inactive	American Economy Insurance Company	300315	Agent - Casualty	11/9/2019	3/29/2024
Inactive	American Economy Insurance Company	300315	Agent - Property	11/9/2019	3/29/2024
Active	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	3/8/2012
Active	American Guarantee and Liability Insurance Company	301216	Agent - Property	3/8/2012
Active	American Home Assurance Company	300246	Agent - Casualty	3/20/2006
Active	American Home Assurance Company	300246	Agent - Property	3/20/2006
Active	American Zurich Insurance Company	300592	Agent - Casualty	3/8/2012
Active	American Zurich Insurance Company	300592	Agent - Property	3/8/2012
Active	CIGNA Dental Health of Kentucky, Inc.	300904	Agent - Health	2/22/2010
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	3/23/2012	12/5/2014
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	2/22/2010	6/11/2014
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	2/22/2010	6/11/2014
Active	Crestbrook Insurance Company	805354	Agent - Casualty	3/25/2016
Active	Crestbrook Insurance Company	805354	Agent - Property	3/25/2016
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/25/2020	12/13/2022
Inactive	Employers Assurance Company	300120	Agent - Casualty	9/17/2013	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	9/17/2013	1/3/2024
Active	Everest National Insurance Company	301319	Agent - Casualty	6/7/2004
Active	Everest National Insurance Company	301319	Agent - Property	6/7/2004
Inactive	Fireman's Fund Insurance Company	301423	Agent - Casualty	7/23/2021	12/2/2021
Inactive	Fireman's Fund Insurance Company	301423	Agent - Property	7/23/2021	12/2/2021
Active	Great American Alliance Insurance Company	301247	Agent - Casualty	7/21/2023
Active	Great American Alliance Insurance Company	301247	Agent - Property	7/21/2023
Active	Great American Insurance Company	301586	Agent - Casualty	7/21/2023
Active	Great American Insurance Company	301586	Agent - Property	7/21/2023
Active	Hanover American Insurance Company (The)	300447	Agent - Casualty	1/19/2011
Active	Hanover American Insurance Company (The)	300447	Agent - Property	1/19/2011
Active	Hanover Insurance Company (The)	300508	Agent - Casualty	1/19/2011
Active	Hanover Insurance Company (The)	300508	Agent - Property	1/19/2011
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/17/2020	12/15/2020
Inactive	Humana Insurance Company	301104	Agent - Health	9/25/2020	12/13/2022
Inactive	Humana Insurance Company	301104	Agent - Life	3/23/2012	12/8/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/25/2020	12/13/2022
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/25/2020	12/13/2022
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	5/10/2024	9/25/2024
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	5/10/2024	9/25/2024
Inactive	Kanawha Insurance Company	300127	Agent - Health	3/23/2012	12/5/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	3/23/2012	12/5/2014
Active	Massachusetts Bay Insurance Company	300898	Agent - Casualty	1/19/2011
Active	Massachusetts Bay Insurance Company	300898	Agent - Property	1/19/2011
Active	Milford Casualty Insurance Company	301460	Agent - Casualty	8/12/2022
Active	Milford Casualty Insurance Company	301460	Agent - Property	8/12/2022
Inactive	National Surety Corporation	300087	Agent - Casualty	2/15/2006	12/22/2017
Inactive	National Surety Corporation	300087	Agent - Property	2/15/2006	12/22/2017
Denied	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	1/14/2013
Denied	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property
Active	Nationwide Mutual Insurance Company	301749	Agent - Casualty	8/25/2016
Active	Nationwide Mutual Insurance Company	301749	Agent - Property	8/25/2016
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	9/23/2019	3/29/2024
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	9/23/2019	3/29/2024
Inactive	Pie Insurance Company (The)	300514	Agent - Casualty	5/8/2006	12/22/2017
Inactive	Pie Insurance Company (The)	300514	Agent - Property	5/8/2006	12/22/2017
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	3/25/2015	3/29/2024
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	3/25/2015	3/29/2024
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	3/25/2015	3/29/2024
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	3/25/2015	3/29/2024
Active	Security National Insurance Company	301151	Agent - Casualty	8/12/2022
Active	Security National Insurance Company	301151	Agent - Property	8/12/2022
Active	Sequoia Insurance Company	628046	Agent - Casualty	8/12/2022
Active	Sequoia Insurance Company	628046	Agent - Property	8/12/2022
Active	Technology Insurance Company	613278	Agent - Casualty	8/12/2022
Active	Technology Insurance Company	613278	Agent - Property	8/12/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/15/2021	5/31/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	7/15/2021	5/31/2023
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/1/2013	5/31/2023
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	7/15/2021	5/31/2023
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Life	7/15/2021
Active	Wesco Insurance Company	300534	Agent - Casualty	8/12/2022
Active	Wesco Insurance Company	300534	Agent - Property	8/12/2022
Active	Zurich American Insurance Company	301121	Agent - Casualty	3/8/2012
Active	Zurich American Insurance Company	301121	Agent - Property	3/8/2012
Active	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	3/8/2012
Active	Zurich American Insurance Company of Illinois	301805	Agent - Property	3/8/2012

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Abreu, Melissa Jean	1258338	Agent - Casualty	11/28/2023
Active	Abreu, Melissa Jean	1258338	Agent - Health	11/28/2023
Active	Abreu, Melissa Jean	1258338	Agent - Life	11/28/2023
Active	Abreu, Melissa Jean	1258338	Agent - Property	11/28/2023
Active	Maroevich, Ivan Mountford	551239	Agent - Casualty	7/2/2003
Active	Maroevich, Ivan Mountford	551239	Agent - Health	2/2/2006
Active	Maroevich, Ivan Mountford	551239	Agent - Life	2/2/2006
Active	Maroevich, Ivan Mountford	551239	Agent - Property	7/2/2003
Active	Sudduth, Timothy Paul	879262	Agent - Casualty	7/27/2023
Active	Sudduth, Timothy Paul	879262	Agent - Property	7/27/2023