DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	USI Ins Services Of Massachusetts Inc	DOIID	553978	NAIC NPN	1956424

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Denied	Non Resident	Agent	Personal Lines
Inactive	Non Resident	Agent	Casualty	8/31/2006	3/31/2014
Inactive	Non Resident	Agent	Property	8/31/2006	3/31/2014
* 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 North America Insurance Company	300884	Agent - Casualty	8/2/2005	4/23/2006
Inactive	21st Century North America Insurance Company	300884	Agent - Property	8/2/2005	4/23/2006
Inactive	ACE American Insurance Company	300625	Agent - Casualty	1/16/2008	5/15/2013
Inactive	ACE American Insurance Company	300625	Agent - Property	1/16/2008	5/15/2013
Inactive	American Home Assurance Company	300246	Agent - Casualty	8/2/2005	4/23/2006
Inactive	American Home Assurance Company	300246	Agent - Property	8/2/2005	4/23/2006
Inactive	American and Foreign Insurance Company	301124	Agent - Casualty	7/19/2002	12/31/2004
Inactive	American and Foreign Insurance Company	301124	Agent - Property	7/19/2002	12/31/2004
Inactive	Arch Insurance Company	300688	Agent - Casualty	5/1/2009	5/23/2013
Inactive	Arch Insurance Company	300688	Agent - Property	5/1/2009	5/23/2013
Inactive	Arrowood Indemnity Company	300144	Agent - Casualty	12/31/2004	4/21/2006
Inactive	Arrowood Indemnity Company	300144	Agent - Property	12/31/2004	4/21/2006
Inactive	Westchester Fire Insurance Company	301414	Agent - Casualty	1/16/2008	6/4/2009
Inactive	Westchester Fire Insurance Company	301414	Agent - Property	1/16/2008	6/4/2009
Inactive	Western Surety Company	300283	Agent - Casualty	3/15/2007	6/19/2013

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Lewis, Earl D	553906	Agent - Casualty	7/19/2002	4/21/2006
Inactive	Lewis, Earl D	553906	Agent - Property	7/19/2002	4/21/2006
Inactive	Penn, Richard	374512	Agent - Casualty	8/31/2006	3/31/2014
Inactive	Penn, Richard	374512	Agent - Property	8/31/2006	3/31/2014