DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Associated X/S Underwriters, Inc.	DOIID	556878	NAIC NPN	1652091

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	10/21/2002	3/31/2012
Inactive	Non Resident	Agent	Property	10/21/2002	3/31/2012
* 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	Arrowood Indemnity Company	300144	Agent - Casualty	8/1/2003	6/27/2007
Inactive	Arrowood Indemnity Company	300144	Agent - Property	8/1/2003	6/27/2007
Inactive	RLI Insurance Company	301217	Agent - Casualty	10/21/2002	2/21/2006
Inactive	RLI Insurance Company	301217	Agent - Property	10/21/2002	2/21/2006
Inactive	Royal Insurance Company of America	301120	Agent - Casualty	8/1/2003	12/31/2004
Inactive	Royal Insurance Company of America	301120	Agent - Property	8/1/2003	12/31/2004

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Phelan, James Bernard	378719	Agent - Casualty	10/21/2002	3/31/2012
Inactive	Phelan, James Bernard	378719	Agent - Property	10/21/2002	3/31/2012