DEPARTMENT OF INSURANCE

Affiliations

Name	Peichel, Jay S	DOIID	555419	NAIC NPN	7329982

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	9/17/2002	12/31/2026
Active	Non Resident	Agent	Casualty	9/17/2002	12/31/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	8/14/2024	12/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	10/15/2026	12/31/2026
Surplus Lines Broker	10/15/2026	12/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACE American Insurance Company	300625	Agent - Casualty	7/12/2003
Active	ACE American Insurance Company	300625	Agent - Property	7/12/2003
Active	Arch Insurance Company	300688	Agent - Casualty	6/26/2006
Active	Arch Insurance Company	300688	Agent - Property	6/26/2006
Inactive	Everest National Insurance Company	301319	Agent - Casualty	9/7/2006	5/30/2012
Inactive	Everest National Insurance Company	301319	Agent - Property	9/7/2006	5/30/2012
Active	Freedom Specialty Insurance Company	300890	Agent - Casualty	1/15/2026
Active	Freedom Specialty Insurance Company	300890	Agent - Property	1/15/2026
Inactive	Guarantee Insurance Company	300611	Agent - Casualty	12/7/2009	12/18/2017
Inactive	Guarantee Insurance Company	300611	Agent - Property	12/7/2009	12/18/2017
Active	National Casualty Company	301483	Agent - Casualty	1/15/2026
Active	National Casualty Company	301483	Agent - Property	1/15/2026
Active	Nationwide Agribusiness Insurance Company	301008	Agent - Casualty	1/26/2026
Active	Nationwide Agribusiness Insurance Company	301008	Agent - Property	1/26/2026
Active	Nationwide Property and Casualty Insurance Company	300599	Agent - Casualty	1/22/2026
Active	Nationwide Property and Casualty Insurance Company	300599	Agent - Property	1/22/2026
Inactive	Pacific Employers Insurance Company	301753	Agent - Casualty	10/29/2002	3/11/2004
Inactive	Pacific Employers Insurance Company	301753	Agent - Property	10/29/2002	3/11/2004
Active	Scottsdale Indemnity Company	300232	Agent - Casualty	1/15/2026
Active	Scottsdale Indemnity Company	300232	Agent - Property	1/15/2026
Inactive	Sompo America Insurance Company	300149	Agent - Casualty	2/7/2017	3/20/2017
Inactive	Sompo America Insurance Company	300149	Agent - Property	2/7/2017	3/20/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Keystone Risk Partners, LLC	556914	Agent - Casualty	10/31/2002	4/27/2022
Inactive	Keystone Risk Partners, LLC	556914	Agent - Property	10/31/2002	4/27/2022
Active	RSG Specialty, LLC	726176	Agent - Casualty	5/23/2022
Active	RSG Specialty, LLC	726176	Agent - Property	5/23/2022